Connection Card

Thank you for joining us in worship service.

Please fill this form out completely as possible so we know you were with us.

If you would like to communicate directly with Pastor Julia, please email her at juliamelgreen@yahoo.com.

Date

MM

DD

YYYY

Name

First Name

Last Name

Email Address

Would you like the pastor to contact you?

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Prayer Request

Let us know your concerns to be lifted in Prayer. Prayer requests are received by Sharon Johnson, Administrative Assistant, and shared with the Pastor. Your prayer requests are kept confidential and shared only with the permission you give below.

I give my permission to share this information with:

Staff

Prayer Warriors (people from the congregation who make up our Prayer Team)

Congregation

Should you wish to communicate directly with the Pastor, please email her at juliamelgreen@yahoo.com.

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Connection Card

Thank you for joining us in worship service.

Where Connecting, Growing and Serving are a Way of Life