FBCNA Virtual Connection Card

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Thank you so much for joining the FBCNA family online! We would love to connect with you more. Below you will find a virtual version of the connect form we have in our church pews. Please take a moment and fill out all or just part of it so we can continue to connect with you despite not being together in person. Thank you and many blessings!

Email *

First and Last Name *

Full Address

Home Phone Number

Please only list the number here if it is a land line you still use. If you use your cell phone as your home phone, please list below.

Cell Phone Number

Email Address

Please select if any of the below apply:

This is a new address I would like updated in the church office

This is a new phone number I would like updated in the church office

This is a new email address I would like updated in the church office

Please add me to the following (please select all that apply -- you can choose both phone robocall and text robocall if you would like both, or select one you prefer) :

the church robocall as a phone call

the church robocall as a text message

the church email list

the prayerchain robocall

If you selected the church robocall phone call or prayerchain robocall above, which phone number do you prefer to be used?

Home phone

Cell phone

Clear selection

I would like a visit/meeting/phone call with the Pastor to discuss:

baptistm

baby dedication

funeral

spiritual crisis

general conversation

membership

wedding

prayer

family crisis

Other:

I will be undergoing a medical procedure and/or hospitalization:

(please list any information you would like passed on to the office and/or pastor including when, where and any procedure information you would care to share). Please note, due to COVID restrictions at any given time, the Pastor or Deacons may or may not be able to visit, but every effort will be made to connect for prayer and support.

I would like more information about:

Bible studies

Fellowship opportunities

Serving opportunities

Other:

Please feel free to comment below on anything else you would like communicate to the church office and/or Pastor. Thank you.

Send me a copy of my responses.

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