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church directory update
Thank you for helping us update our church directory.
Note that required items are marked with an asterisk and must be filled out to submit.
The submit button is at the bottom of the page
Please check appropriate item(s)
I do NOT want ANY information printed in the directory
My information is the same as in the previous directory
I have new or changed information (please fill out below noting that required items are marked with an asterisk and must be filled out to submit)
Adult First Name
Adult Last Name
Cell Phone Number
Email
Spouse First Name
Spouse Last Name (if different)
Spouse Cell Phone Number
Spouse Email Address
Land Line
Street Address
Street Address-line 2
Country
City
State
Zip/Postal Code
Names of children in the household
Additional Notes
Submit