RWC Connection Card
We want to connect with you. Please complete the form in its entirety and click submit.
First Name
*
Last Name
*
Mailing Address
*
Mailing City
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Mailing State
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Mailing Zip Code
*
Email Address
*
Phone Number
*
Age
*
Gender
*
Male
Female
Marital Status
*
Single
Engaged
Married
Widowed
Divorced
Separated
Number of Kids
*
HOW I HEARD OF RWC:
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Friend/Family
Online Search
Facebook
Instagram
Other
ABOUT ME:
Accepted Jesus today
Tell me more on how to accept Christ as Lord and Savior
I need to speak to a staff member
New to Revenant Worship Center
I need prayer
Out of town guest
Tell me more about RWC and how I can get involved
Tell us anything else you would like us to know about you.
Submit
