Menomonie Alliance Church - Connection Card

Connection Card

Welcome to Menomonie Alliance Church! Please fill out the form below, and we look forward to connecting with you!

First Name

Last Name

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

Email

Are you attending in person or watching online?
Attending in person
Watching live stream from home

Have you visited us before?
First Time
Returning

Prayer Requests for Elders & Pastors

Any additional comments/needs