EmailMe Form - New Visitor Form- Christ Lutheran Church

Date You Came to Worship at CLC

MM / DD / YYYY

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

I currently belong to this church (if applicable):

Located in this City and State (if applicable):

Please Select One of the Following

Would You Like More Information About CLC Mailed to You?

Would You Like More Information About CLC EMailed to You?

Would You Like Someone to Call You With Information About CLC?

Are You Ready to Join CLC And Would Like For Someone to Contact You?

Anything You Would Like Us to Know About You or Your Family?

Are You New to the Georgetown Area?

Relatives of CLC Members? (if applicable):

Friends of CLC Members? (if applicable):

For First Time Visitors, please choose what charity you would like the $5 pledged to:

Caring Place

Meals on Wheels

Faith in Action

Habit for Humanity