Menomonie Alliance Church - Connection Card

Connection Card

Welcome to Menomonie Alliance Church! Please fill out the form below. We look forward to connecting with you!

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

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