HEMPSTEAD AG - CONNECTION CARD

CONNECT WITH US HERE AT HEMPSTEAD ASSEMBLY OF GOD WHERE WE ARE:
LOVING GOD, LOVING EACH OTHER, ONE DAY AT A TIME.
We would love to hear from you, please fill out this form and click submit.

Name

*

Address

*

Phone

*

Email

*

This address will receive a confirmation email

Is this your first or second time visiting with us? Please check applicable box

*

Please select one option.

First Time Visitor Returning Visitor

How did you hear about us:

*

Please select one option.

Friend / Family Church Website Other (comment below) Guest of: (comment below)

Comments:

Have you made a decision for Christ. Please check the appropriate box

*

Please select one option.

Tell me more about a personal relationship with Jesus Christ Today I became a follower of Jesus Christ and would like more information

Are you interested in church membership?

*

Please select all that apply.

New to the area Would like a visit Would like to know more about this church Would like to become a member

Are you in need of prayer? please submit your request below

Description

CONNECT WITH US HERE AT HEMPSTEAD ASSEMBLY OF GOD WHERE WE ARE:
LOVING GOD, LOVING EACH OTHER, ONE DAY AT A TIME.
We would love to hear from you, please fill out this form and click submit.

Please Fix the Following

Close