connect form Thank you for taking the time to connect with us. Please fill out the following form so that we can better serve you. You will hear from us soon. *Denotes Required Field * Title Please choose one: Mr. Mrs. Ms. Miss * First Name: * Last Name: I (we) have moved! My new address is listed below. Street Address City, Province Postal Code * Email: Enter Email again: Phone: ( ) - Preferred Method of Contact: Please select an option Phone Email * Your Age Group: 0-12 13-18 19-29 30s 40s 50s 60+ Check all that apply: I am committing my life to Christ. I am renewing my commitment to Christ. I want to be baptized. I am interested in joining a community group. I am interested in membership. I am interested in serving. How did you hear about us? Friend Family Website/Internet Drive/Walk By Social Media Anything you would like to let us know?
