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Directory Information Update

Please complete the first 2 fields and then ONLY the fields that you wish updated on your current Member Directory page.
All submissions made by October 24 will be included in the November 2011 update.

Last Name:  

Head of Household Name:  

Spouse Name:  

Child Name:

Child Name:  

Child Name:  

Child Name:

Child Name:  

Child Name:

Child Name:

Home Street Address:  

City, Zip Code:  

Phone Numbers:

Home Phone Number:  

Name:
 Phone #:   Type (home, cell or work):   

Name:  Phone #:   Type (home, cell or work):   

Name:  Phone #:   Type (home, cell or work):   

Name:  Phone #:   Type (home, cell or work):   

Name:  Phone #:   Type (home, cell or work):   

Name:  Phone #:   Type (home, cell or work):   

Name:  Phone #:   Type (home, cell or work):  

EMAIL ADDRESSES:

Name:  Email Address:

Name:  Email Address:

Name:  Email Address:

Name:  Email Address:

Name:  Email Address:

Birthdays:

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):

Name:   Birthday (Month/Day):


Directory Phone (Please check one):

 Please use my current photo (you must have an existing directory page for this option)

 I will email a high-res photo to robyncbarn@yahoo.com

 I will provide the church office with a photograph (hard copy).

 I will have my photo taken at the church on one of the following Sunday mornings: October 2, October 9,
       
October 16 or October 23.