Auburn Church of Christ

Family Information


If you are a member here, please fill out the following form to help keep our records up to date. If there are any changes to your information. Feel free to re-submit via this page or call the church office at 334.887.5891


FIELDS MARKED WITH * ARE REQUIRED!
Name:*                                                                                        
   
Street Address: 

City:  State:      Zip: 

Home Phone:   Work Phone:       

Cell Phone:    
                                 
E-Mail Address:*    
Would you like to be added to church email list: 
(If you already receive church emails please select "Already Subscribed")

If married, please fill out this section:
Spouse's Name:       

Spouse's Work Phone:         Cell Phone:    

Spouse E-Mail:     
Would you like to be added to church email list:
(If you already receive church emails please select "Already Subscribed")

Household or other email: 
Would you like to be added to church email list:
(If you already receive church emails please select "Already Subscribed")
 
Please list your entire family, including yourself and the date's of birth
                
                NAME                             (MM/DD/YY)
   1.       
   2.       
   3.       
   4.       
   5.       
   6.       
   7.       
   8.       
   9.       






PLEASE READ: Is there any information you would not like to be published in the directory?

                        

Last Modified {8/11/03}
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