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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
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Last name
Email address
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Phone Number
Phone type
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Home
Work
Other
Address
Home
Work
Other
Country
Country
Street address
Apt/unit/box (optional)
City
State
Postal code
Birthday
Date
My life was changed by Jesus for the first time today.
I rededicated my life to Jesus today.
Household members
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+ Add child
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?
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Friend/Family
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