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Bethlehem Connection Card | Valley Stream
Welcome to Bethlehem! We're so glad you're here! Our Connections team would love to assist you in any way that we can. Please fill out this form so we can get you connected!
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First Name
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Last Name
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Email
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Phone Number
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Please include area code i.e. 800-555-5555
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Street Address
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City
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State
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Zip Code
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Gender
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Female
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Life Status
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Single
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Age Range
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Middle School
High School
18-23
24-29
30's
40's
50+
I am a
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First time guest
Second time guest
New to the area
Out of town
Which Campus would you like to know more about?
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Valley Stream
Baldwin
Rosedale
Online
I would like more information about:
Baptism
Membership
Volunteering
One Groups
Children's Ministry
Youth Ministry
Young Adult Ministry
Rosedale Campus
Spanish Campus
Other:
How did you hear about us?
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Did you accept Jesus Christ as your savior today? y/n
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Yes
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Prayer RequestÂ
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Contact Me
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Preferred Contact Method
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phone
text
email
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