Connection Card/Church Database Form

Your name *

Last name

Email address *

Birthday

Anniversary date

Address

HomeWorkOther

Country

Country

Street Address

Apt/unit/box (optional)

City

State

Postal code

Phone number

Phone type

MobileHomeWorkOther

Phone number

Phone type

MobileHomeWorkOther

Household members

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When was your 1st visit?

Special Interests/Talents

What area(s) do you volunteer in?

Anything else you would like us to know?

How did you hear about Vantage Pointe?

Prayer Requests/Praise to Share

Made a deeper commitment to God

Gave a 1st time financial gift

Prayed to receive Christ as my Savior

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