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Communication Form

Communicate With Us...

About Yourself:

1.
*

Your Full Name:

2.
*

Complete Mailing Address:

3.
*

Home phone number:

4.
*

Email Address:

5.

Marital Status... select...

6.
*

Age Group... select...

7.

List Names/Ages of Children living at home:

8.
*

How often have you visited this website... select one...

(1 required)
1 X   2X
3X   Many X
9.
*

Do you attend our church services?    select one...

(1 required)
weekly   once a month
twice monthly   occasionally
rarely   Christmas/Easter Services
10.

Enroll me in the next...

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11.

I'd like to know more about... counselling...select

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12.

I'd like to know more about how to get connected into a small group...select type of group...

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13.

I'd like to know more about how to become plugged in as a volunteer... select area...

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14.

I'd like to know more about how to get plugged into Special Groups or Activities:  select area...

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15.

Comments, Request or Prayer Needs: Please indicate if you would like us to submit your request to the prayer team.

Type in the text that you see above:

  

Maple Ridge Christian Reformed Church
20245 Dewdney Trunk Rd
Maple Ridge, BC V2X 3C9 CA
Phone: 604-465-9416
office@mapleridgecrc.com
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