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Connect Card

Simply fill out the information below so we can connect and see how we can best serve you on this journey!

Your name *

Last name

Email address *

Phone Number

Phone type

I am a 1st Time Visitor

Where are you joining us today? *

How did you hear about us?

Family / Friend

Social Media: Facebook, Instagram, etc.

Internet Search

Other

I want to...

Follow Jesus

Get Baptized

Join a Life Group

Serve on a Team

Sign Up for Growth Track

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Millville Assembly
info@millville.church
856-825-0055

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