Visitor Information eCard

If you have recently visited us at My New Life in Christ Church and would like to provide your personal information for contact or just for our files, please fill out the information boxes below.

We appreciate you taking the time to tell us about yourself.  If there are any questions / comments / or concerns you have, please indicate them in the comments box.

 

Your Name (required)

Your Email (required)

Your Telephone Number

Your Address

Please choose a selection below:

 Contact me by telephone. Contact me by email. Contact me with a home visit. Contact me by my mailing address. Please DO NOT contact me.

Your Comments

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