Northstar Information Update
Please help us keep your contact information current for ministry and communication purposes.
Name
*
Email
Phone
Address
--
AA
AB
AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
NC
ND
NE
NH
NJ
NL
NM
NS
NT
NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
Birthday
Marital Status
Please select one option.
Married
Divorced
Not Specified
Single
Separated
Widowed
Select Option
Married
Divorced
Not Specified
Single
Separated
Widowed
Family Info
If applicable, please include the names of your spouse and/or children (and children's ages).
Describe your involvement:
If your involvement level has changed (if you've moved or changed churches), please let us know.
Please select one option.
Member
Regular attender
Recent guest
I've moved
Former member/attender
If a former member, what is the approximate date you left?
Describe your communication preferences:
Please select one option.
Weekly email
Monthly email
Occasional
NO email
If you've moved...
If you no longer live in the NRV, please let us know so that we can add you to the appropriate communication groups.
I've moved from the NRV...
*
Please select all that apply.
Graduation
New job
Marriage
Other
Comments or other information you'd like to add:
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Description
Please help us keep your contact information current for ministry and communication purposes.
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