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Name

First Name

Last Name

Phone Number

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Gender

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Female

Don't want to specify

Marital Status

How did you hear about us?

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Let us know how we can connect with you better. Tell us a little more about you.

Sundays at 3:00pm (meet at Concordia Lutheran Church)