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Contact information
2022 Database and Communication Update
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* Indicates required question
Name
*
Your answer
Spouse's Name
Your answer
Your Birthdate
*
MM
/
DD
/
YYYY
Spouse's Birthdate
MM
/
DD
/
YYYY
Wedding Anniversary
MM
/
DD
/
YYYY
Phone number
*
Your answer
Spouse's Phone Number
Your answer
Email
*
Your answer
Spouse's Email Address
Your answer
Mailing Address
*
Your answer
Physical Address (if different than above)
Your answer
Children's Names (minors living at home) and Birthdates
Your answer
I would like to receive newsletters...
*
Emailed
Mailed
I choose to not receive
I would like to receive prayer requests...
*
Emailed
Text
I choose to not receive
I would like to receive news/info (167 updates)...
*
Emailed
Text
I choose to not receive
I would like to be on the prayer phone tree (i.e. receive a call and pass it on to those assigned to you)
*
Yes
No
Required
I would like to be included in the confidential online directory.
*
Yes
No
Required
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