Connection Card | Lig & Lewe Sentrum Paarl | Local Family Church

021 872 3437 [email protected]

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Connection Card

Name*
First Last
Area
Gender
- Male
- Female
Martial Status
- Married
- Single
Date of birth
Date Format: MM slash DD slash YYYY
Address
Street Address Address Line 2 City ZIP / Postal Code Country
Contact Number*
Email*
Are you a first-time guest?
- Yes
- No
My decision today
- I am committing my life to Christ
- I am recommitting my life to Jesus
- I want to be Water Baptized
- I would like to talk with a ministry team member
Prayer Requests
- For Prayer Team
- Confidential
Would you like to share your name with your request to the prayer team?
- Yes, share my name
- No, detach my name
Prayer Request
My Next Step
- I am interested in learning more about Small Groups.
- I'd like to speak with someone on the Pastoral Care Team.
- I'm interested in learning more about the Life Track.
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Contact Details

Office: 021 872 3437
Address: 22 Rose Street, Paarl, 7646
Office hours: 08:30 – 12:30

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