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Welcome to Menomonie Alliance Church! Please fill out the form below, and we look forward to connecting with you!
First Name
Last Name
First Name of Spouse
Last Name of Spouse
Child's First Name
Child's Last Name
Child's First Name
Child's Last Name
Child's First Name
Child's Last Name
Child's First Name
Child's Last Name
Email
Phone
Address 1
Address 2
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City
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Zip/Postal Code
Are you attending in person or watching online?
Attending in person
Watching live stream from home
How many times have you visited our church?
This is my first time
A few times
Regular attender
How can we serve you?
I would like to speak to a pastor/elder
I would like to sign up for the eBulletin (Weekly email sent out Tuesdays)
Baptism
Membership
Address Change
Today I
Asked Jesus to save me
Recommitted my life to Jesus
Prayer Requests for Elders & Pastors
Any additional comments/needs
How would you like to be contacted?
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