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Communication Card

Welcome to MyChurch. Please fill out the following form and we will get back to you!

Your name *

Last name

Email address *

I am a

1st Time Guest

2nd Time Guest

Regular Attender

Member

Phone Number

Phone type

Address

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Gender

Marital Status

Ages

What age groups make up your family?

Elementary

Middle School

High School

College Age

20s

30s

40s

50s

60+

INTERSECT

I would like more information about:

Children: K-5th Grade

Children: Nursery-Preschool

Child Dedication

Baptism

Membership

CONNECT

I would like more information about:

Small Groups

Men's Group

Women's Group

Middle School

High School

SERVE

I would like more information about:

Volunteering at MyChurch

Sunday Reset Team

Volunteering in MyChurch Kids

Serving My Community

Other

I am interested in:

becoming a follower of Jesus

renewing my commitment to follow Jesus

talking to a pastor

First Impressions by Our 1st Time Guests

This is what I noticed first

This is what I liked best

The church could improve by:

Other Responses or Comments

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MYCHURCH
joyce@mychurchaz.com
5204293133

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