Northwest Community Church > Connection Card

Dr. Mr. Mrs. Miss Single Married

First-Time Guest

Name(s)

Second-Time Guest

Age Range:

Under 18 18-25 26-35 36-45 46-55 56+

Regular Attender

Address

Member

City

State Zip

Change in Contact Info

Phones: Cell

Home Work

Best Time to Call

Email

Children: Name(s)

Age(s)

THANK YOU!

If a guest, how
did you hear about Northwest?

(Name of person who invited you, newspaper, internet, drive by, other)

Please let us know how we can pray for you or serve you better…

I would like more information about:

Becoming a Christ follower
Joining Northwest
Life Groups
Baptism
Serving as a volunteer

Northwest Community Church