Connect Card

Date

Which worship service did you attend? Which worship service did you attend? 9:15 AM 11:00 AM

Name

Address

City

State

Zip

Phone Number

Email Address

Are you an active member of another church? Are you an active member of another church? Yes No

Attendance? Attendance? 1st visit 2nd visit 3rd visit Regular attender

Your Age Group: Your Age Group: 18-23 24-30 31-40 41-50 51-60 61-70 71+

Marital Status Marital Status Single Married Widowed

If married, what is your spouse's name?

Children Living at Home: (Name & Age)

Contact Me About: Contact Me About: How to start a relationship with Jesus The next Discover FBC Class Attending a Life Group Becoming a member of FBC