Guest Book Registration

Thanks for visiting our website.  Please fill out the information below and tell us how we can better serve you.

 

Title: Mr.     Mrs.    Mr. & Mrs.    Miss     Ms.
Name:
Address:
City     State:    Zip: 
Home Phone:    Work Phone:

Email Address:

Please Indicate Your Marital Status:       
Single     Single Again     Married

Spouse's Name:  

Your Age Group:
6 - 10     11-17    18-25      26-35     36-50      over 50

 
Name and birthdates of children living at home:




Comments, Requests, or Prayer Needs: 
 For Prayer Team         Confidential

I'd Like More Information On:

Beginning a Relationship with Christ
Children's Activities
Youth Activities
College/Young Adult Activities
Singles' Activities
Women's Activities
Men's Activities
Couples' Ministry
Small Groups
School of the Word (Adult Sunday School)
Counseling
Music and Arts Activities
Ministry to Children with Disabilities
Schedule an appointment with a pastor
Water Baptism
Baby Dedication
Becoming a Member of RCC
Finding my place of service in the church

How did you find out about our website?
(Please be specific.)

Word of Mouth (Friend)
Newspaper
Which one?
Radio Advertisment
Which radio station?
Relocation Guide Magazine
BellSouth Yellow pages
Verizon Yellow pages
Direct Mail (received a card in the mail)
NC Neighbors website (www.ncneighbors.com)
Assemblies of God website
Other website
Site Name/Address
Other: