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: Alabama Alaska Arizona Arkansas Hawaii California Colorado Connecticut Delaware Florida Georgia Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming Not U.S. Zip: Home Phone: Work Phone: Cell Phone: E-Mail Address:* Would you like to be added to church email list: Already SubscribedNoYes (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:Already SubscribedNoYes (If you already receive church emails please select "Already Subscribed") Household or other email: Would you like to be added to church email list:Already SubscribedNoYes (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} Home