Getting to Know You!

This is the same form that appears in our church bulletin every week. The contents of this form will be sent by E-mail to the pastor.

If you have any problems with the form, please notify the webmaster at davjayb@aol.com

Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Home Phone
E-mail
I am a
I would like for the Pastor to contact me concerning:
I would like a pastoral visit
I would like to be baptized
The following person is ill
At home
In this hospital
I would like to be of service in the following area
I would like to transfer my membership to this church from the following SDA church