Excited to Welcome You

Name*
Phone Number*
Email Address*
Are You Saved ?
- I would like to Give My Life to Him
- I Know Him, but I Want to be Closer to Him
- I Would like to Learn More About him
Do You Have A Church Home?
- I would like to Join & Become a Member
- I would like to use my Gifts/Talents to serve here
- I would like to Worship here while I'm in school - University of Memphis or LeMoyne Owen College Students
Tell Us About Your Needs*
- I would like special prayer
- I need help with a crisis
- I am seeking financial assistance
- I would like counseling
- I would like more info about having a wedding
- I would like to get baptized
- I would like to schedule an appointment to see the pastor
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