Connection Card | Community Baptist Church

Allow us to connect with you and you with us by providing us with the information with which you are comfortable. Use this form to let us know about decisions or prayer requests, or to let us know you're here.

This information is solely used by Community Baptist Church to connect with you.

Please complete the following fields, then click Submit.

Your Name (Required)

I am a: (Required)

First Time Guest

Second Time Guest

Regular Attender

Member

Address

Please provide us with a mailing address so we may send you a welcome letter

Cell Phone

The pastor would like to connect with you via a "thank you" text after the service today.

Age Group

18-22

23-30

31-40

41-50

50-60

60-70

70+

Marital Status

Maritial Status

Please provide an email for us to connect with you. We will use this email to send you a Welcome letter, if a mailing address is not given.

Prayer Requests

How can we pray for you?

My Decision Today: I want to...

Let us know if you made a decision today or if you want us to follow-up with you.

I want to know more about how to receive Jesus as my Savior

Get baptized

Renew my commitment to Christ

Become a member

Join a Adult Bible Study

Speak with a pastor

Visit

Would you like a home visit to learn more about Community Baptist Church?

Questions? Comments?

Community Baptist Church - Newport

PO Box 1119 7648 Highway 70
Newport, NC 28570

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