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Tauranga Elim Church
Contact & Connect Form
Contact
*
First name
Last name
Show on directory ?
Nick name
Gender
*
Male
Female
Date of Birth
*
Marital Status
Defacto
Married
Separated
Single
Widowed
Wedding Date
Relation to House
Aunt
Boarder
Brother
Brother-in-law
Business
Business owner
Care Giver
Child
Daughter
Daughter-in-law
Father
Father-in-law
Fiance
Flatmate
Friend
Grandchild
Grandparent
Great Aunt
Mother
Mother-in-law
Nephew
Niece
Parent
Partner
Sister
Sister-in-law
Son
Son-in-law
Email address
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Mobile Phone
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+ ADD another person
- Remove entry
Please tick the 'show on directory' box, if you are happy to share your contact details with other church members (serving teams, connect groups).
Household Address
*
Address line 1
Address line 2
Address line 3
Address line 4
Town/Suburb
City
Postcode/Zip
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Home phone
Show on directory ?
I am:
a first-time visitor
committing/re-committing my life to Christ
I would like to:
attend Growth Track
be baptised
join a Life Group
join a Serve Team
add / update my details
Other
Tauranga Elim Church is collecting this information to be able to communicate with you and for administration purposes. The information will only be accessed by necessary church staff and volunteers. This information will be stored securely, not distributed to any 3rd party, and you have the right to correct the information.
Yes
*
Name
Date
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