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Pastor (First Name)

(Middle)

(Last)

* Church Name

* Address

Address (line 2)

* City

* State (Includes USA & Canada)
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Province / Other

* Zip (5 digits only)

* Country

Church Phone

Home Phone

Church Email (For Public Use)

Website Address

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KJV

We Use Other Bible Versions

Traditional Music

Contemporary Music

Service Times:
Sunday School: Sunday Morning: Sunday Evening: Wednesday Evening: Other:

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