Online Atlantic Avenue Church Connect Card
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I am:
*
Please select all that apply.
Updating my information.
Filling out a Connect Card for the first time.
Which Service/s Do You Attend
*
Please select all that apply.
9:45 Online Live Stream
Online Not During Live Stream
8:15 In Person
9:45 In Person
11:15 In Person
Your Name
*
Name/s of Additional Household Members
Address
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AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Primary Phone
Primary Phone Type
Please select all that apply.
Cell
Home
Additional Phone Number
Additional Phone Type
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Cell
Home
Additional Phone Number
Additional Phone Type
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Cell
Home
Primary Email
This address will receive a confirmation email
Additional Email
We'd love to share your special day with you!
Anniversary Date:
All Household Birthdays- Name: Date:
I am...(Please check all that apply.)
Please select all that apply.
An online attender
An in person attender
A first time guest looking for a church home
A regular attender of another church
New to the area
New to church
Returning to church
What's Next?
Start:
Please select all that apply.
I decided to trust Jesus as my Savior today.
I rededicated my life to Christ.
Please have someone contact me to tell me more about the church.
Next Step:
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I'm interested in getting baptized.
I would like to talk to a pastor.
I'm interested in joining a class/bible study.
Get Involved:
Please select all that apply.
I want to become a member.
I want to volunteer for a ministry.
I would like to hear more about how to be involved with the church.
I would like to hear more about being involved in a specific area.
This is the area I would like to hear more about being involved in:
Questions/Comments:
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Description
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