Contact/personal info.
Name*
Address-street,city,zip code*
E-mail address*
Home phone
Cell Phone
Birthday-mm/dd/year
Anniversary-mm/dd/year
Date of Salvation
Baptism Date
Name of Church you were baptized in
Date Joined
Children's names, Birth date, Date of Salvation, Baptism Date, Relationship
Other info. or comments
Occupation:
Place of Employment:


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