Connection Card Form

by cellc | | 0

Name:

First *

Last *

Contact:

Email

Sign up for NHCC emails?

Phone Type

Phone No

Address:

Street

Apt / Unit / Box / Suite

City

State

Zip Code

Dates:

Birth Date

Anniversary Date

Prayer Requests:

Request

Spiritual Decisions:

Choose One

I committed my life to Jesus Christ for the first time

I recommitted my life to Jesus Christ

Please send me information on:

Choose

Baptism

Growing My Faith

Life Groups

Opportunities to Serve

Other Comments

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