Connect Card

Name *

First Name

Last Name

This is my _______ visit* *

First

Second

Other

Spouse Name

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

###

####

Did you enjoy the service today? *

Yes

No

Would you invite others to SPWOC? *

Yes

No

I would like more information about: (Check all that apply) *

SPWOC

Salvation

Baptism

Membership

Children's Ministry

Youth Ministry

Other

I would like to subscribe to the SPWOC Email Newsletter* *

Yes

No