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Member Directory update

This information is used to keep the church directory up to date. All information is kept confidential & is not used in any other manner.
Last Name*
Your Name*
Spouse's Name
Address 1*
Address 2
City*
State*
Zip Code*
Phone Number*
Email Address
Anniversary Date
Your Date of Birth
Spouse's Date of Birth
Names of Children & their date of birth in house hold:


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