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Communication Card
In order for us to serve you better, please complete this
Communication Form, detach and give it to the Pastor or
place it in the Offering Plate.
Name: _________________________________________
Phone: _________________________________________
Address: _______________________________________
02.07.16
Email: _________________________________________
Is ill at home
Requests Visitation
I want to be baptized
Seeks transfer of membership
Is in ____________________ Hospital
Is interested in Bible Studies Has a Prayer Request
Other: _______________________________________