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Connection Card

We want to help you get connected to Jesus, others around the church, and to any information you need.

Your name *

Last name

Email address *

Phone Number

Phone type

Address

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Birthday

My life was changed by Jesus for the first time today.

I rededicated my life to Jesus today.

Household members

I would like to:

check as many as apply

Get information about Salt Groups

Attend Lunch with Leon

Be water baptized

Serve at Salt

Other

It's my:

First time

Second time

I attend regularly

How did you hear about us?

Web Search

Invite Card

Social Media

Friend/Family

Other

Prayer for...

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Salt Church
info@saltchurch.org
757-598-1705

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