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Connect Card

 

Date*
Name *
First Name
Middle
Last Name
Spouse Name
First Name
Middle
Last Name
Address *
Address Line 1
Address Line 2
City
State
Postal Code
Cell Phone Number
Home Phone Number
Email Address*
Church Status *
If you are a guest, how did you hear about Grace Church?
Are you a church member elsewhere?*
If so, where?
Please check all appropriate info: *
Age of children (if applicable)
I would like to talk to someone regarding:
I would like more information on... *