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I am:
 New to Heartland
 A regular attender updating contact info
Email:
Address:
Best Contact Phone:
Please add my phone number to the church phone directory (emailed to other church attendees only).
Please add my email address to the church directory (emailed to other church attendees only).
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Prayer Request or Praise Report for our weekly prayer chain email:
I am interested in talking to the pastor about:
 Accepting Christ as my Savior
 Church Membership
 Baptism
 Volunteer Opportunities
My age group:
My family also includes:
 Adults
 College Students
 Teens
 K-5 Children
 Preschoolers or Infants
If you are a guest, how did you hear about our church?


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