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Email
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Your email
Worship service you are attending
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Sunday Morning, 10 am (in person)
Sunday Morning, 10 am (online)
Total number of people in your group
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Member: first and last name(s)
Your answer
Guest: first and last name(s)
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Select all that apply
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I/we are member (s)
I/we are first-time vistor(s)
I would like a pastor to call me
I am interested in membership
I am interested in ways to connect at Immanuel
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Comments or prayer requests
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CONTACT INFORMATION
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you are joining us for the first time, or have updated contact information, please complete the fields below. Thank you!
First name
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Last name
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Phone number
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Street Address
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City
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State
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Zip
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Second contact name
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Second contact phone number
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Second contact email address
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Children's name(s) and age(s)
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Further information
Please sign me up for the E-News (sent weekly via email)
Please send me the Newsletter (mailed monthly)
I/we would like a nametag(s)
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