Shiloh Ranch - Connect Card

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

How many times have you visited our church?

This is my first time

This is my second time

This is my first time online

This is my second time online

I am a regular attendar

other

I would like information about (check all the apply):

Baptisms

Baby Dedications

Serving at Shiloh

other - please explain below.

Type your new text here.

Anything else you'd like to share?

Would it be okay to follow up with you?

I'd like a phone call.

I'd like an email.

I'd like a text

I am just making sure you have my contact information for future communication.

Connect card