Church Directory Form

Get in touch

555-555-5555

mymail@mailservice.com

All members of Emmanuel SDA Church: Please fill out this form that will be received by our clerk's office.

In addition, please (name) all family members living within your household.

Salutation:

Spouse's Full Name (if applicable)

What is the best way to contact you?

Last Name:

First Name:

Middle Name:

Cell Phone:

Work Phone:

Home Phone:

Birth Month:

Birth Day:

Birth Year:

Personal Email:

Work Email:

Occupation:

Website (If applicable)

Street Address:

City & State:

Zip Code:

Family Member (1) Name:

Birth Day:

Family Member (2) Name:

Birth Day:

Family Member (3) Name:

Birth Day:

Family Member (4) Name:

Birth Day:

Family Member (5) Name:

Birth Day:

Family Member (6) Name:

Birth Day:

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GET IN TOUCH

(708) 754-3122

1425 Wilson Avenue

Chicago Heights, IL 60411

SATURDAY:

Sabbath School - 10:00AM

Worship Service - 11:15AM

WEDNESDAY:

Virtual Prayer Meeting - 7:00PM

CLICK HERE FOR FULL

PRAYER SCHEDULE

Church Directory Form

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Visit Us Online: www.echsda.org

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