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Name:  
Address:  
Telephone:  
E-mail:  
This is my first visit to Umbilo SDA Church:  
I visit this Congregation regularly:  
I have recently moved to this area:  
I would like to know more abour Seventh-Day Adventists:  
I would like to join this church:  
I need pastoral visit:  
I need help from Welfare Department:  
I would like my membership to be transferred to this congregation:  
My membership is currently at:  
My address has changed. This is my new address:  
I need assistance with exams that are scheduled on Sabbath:  
I would like to receive Bible Studies:  
I would like to be baptized:  
We would like to have our baby dedicated:  
We are planning to get married:  
I need special prayer:  
I/my friend is going to hospital Name of hospital:  
Name of patient:  
Ward:  
Any other message you want to bring to our attention: