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Connection Card

We want to connect with you. Will you take a few seconds to fill out this Connection Card? We look forward to partnering with you on your spiritual journey.

Your name *

Last name

Email address *

Phone number

Phone type

Address

Country

Country

Street address

Apt/unit/box (optional)

City

State

Postal code

Tell us if you are a:

First or Second Time Guest

Regular Attender

Out-of-Town Visitor

How did you hear about Valleybrook?

Today I said "YES" to Jesus! (If so, check one)

Today I put my faith in Jesus for the first time

Today I rededicated my life to Jesus.

I want to: (check all that apply)

Receive the weekly eNews

Attend the next Exploring Baptism

Attend the next Exploring Membership

Join a Ministry Team

Join a Small Group

Other

Share your prayer requests

Share your YayGod's

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Valleybrook Church
info@valleybrookchurch.org
715-834-9993

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