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Let's Get Connected!
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Name
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First
Last
Your Email Address
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This will not be shown in the directory
Spouse's Name
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First
Last
Directory Phone Number
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This will be the phone number listed in the church directory.
Spouse's Email Address
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This will not be shown in the directory.
Your Cell Phone
*
This phone number will not be in the directory unless it is the number you used for the Directory Phone Number.
Spouse's Cell Phone
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This number will not be listed in the directory unless it is the phone number you used for the Directory Phone Number.
Address
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Line 1
Line 2
City
State
Zip Code
Country
CHILDREN (living with you/in college) FIRST & LAST NAME, BIRTHDATE, & GRADE LEVEL
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Please list your children that live with you. You may include your college students as well. Please include their name, birthday and current grade in school.
Your Birthdate
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Spouse's Birthdate
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Wedding Anniversary
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