Mailing List / Information Form — The Marvelous Light Christian Ministries

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Name*
Prefix First Middle Last Suffix
Email*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Home Phone
Occupation
Cell Phone or Best Contact Phone:
Marital Status
- Married
- Single
- Divorced
- Widow
If married, please provide full name of spouse here:
Date Married
MM slash DD slash YYYY
Do you have children?
If you have children, please list each child here along with their age, date of birth and ministry they have joined or would like to. Example:
1st Child: David Chandler, 12 years old, born January 1, 2005. He likes music and would like to sing in the choir.
You may share additional comments here:
(Optional) Upload pictures of you or your family here. You may upload documents here too.
Drop files here or
Max. file size: 256 MB.
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