Connection Card

Submit your connection Card online.

Your name *

Last name

Email address *

Address

HomeWorkOther

Country

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Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone Number

Phone type

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Do you have a prayer request?

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Prayer Request

Write your prayer request here.

Praise Report

Write your Praise Report Here

I have decided to follow Jesus

I'm willing to help where needed

I'd like to get connected in a life group

I'm interested in attending the next steps class

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