tlcserve Response Form

First Name *

Last Name *

Email Address *

Phone Number

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Mailing Address

Mailing City

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Please check all that apply:

Today, I trusted Jesus as my Lord and Savior.

I would like to talk to someone about becoming a Christian.

I am interested in being baptized.

I am recommitting my life to Jesus today.

I am interested in learning more about small groups.

I would like to attend the next Discovering True Life class.

Please check the ministries that you are interested in:

Comments/Other:

Please check any/all that apply:

I would like to attend the September DTL class

I would like to attend the Mens Bible Study - Not So Toxic Masculinity/Stewardship

Comments/Other: