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

A few times

Regular attender

I would like to learn more about (check all that apply):

Baptism

Volunteering

Jesus

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