Pine Log Church - Connect Card

Connect Card

Welcome! We're glad you're here. We would love the chance to know more about you. Please fill out the form below to help us connect with you.

First Name

Last Name

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

Have you visited us before?
This is my first time
A few times
Regular attender

I would like to receive emails about upcoming events at the church.
Yes
No

Preferred contact method
Phone
Text
Email
Snail Mail

How did you hear about us?

Tell us your story!