CONNECTION CARD

WE'RE SO GLAD YOU'RE HERE! Please leave your info so we can support and connect with you.

First Name

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Last Name

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Mobile Phone

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Birthdate

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Marital Status

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Sex

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Address

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City, STATE

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Zip

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Which campus would you like to connect with or call home?

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Do you need a Spanish Speaker?

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My response to today's message

I'm making a decision to follow Jesus today.

I want to be baptized.

This is my first visit to NorthPointe.

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Prayer request / What's on your mind?

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Is this Prayer request for a PASTOR ONLY?

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Would you like someone to call and pray with you?

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