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Where does this form go?

The information in this form is sent first to our webmaster who records the information in MS Access for easy retrieval. The information is made available to our priest Abouna Samuel, to members of the Church Council, and to servants on a need-to-know basis. For example, your child's Sunday School teacher will have their birthday and contact information :o).

Join the Mailing List

We have a few different lists, and we would appreciate some information from you in order to complete your entry in our church mailing list directory. That will help us customize the e-mails you receive. Please fill out the form below and trust that we will keep your information in confidence.

Your Name

First: Middle: Last: Birthdate:

Your Address

Street:
City: State: Zip Code: Country:

I do not live in the U.S.
Here is my foreign address:

Your Contact Information

Home Phone: Cell Phone:
E-mail:

Your Spouse's Name:

First: Middle: Last:
Birthdate: Cell Phone: E-mail:

Your Children

1st Child Name: Phone: E-mail:
2nd Child Name: Phone: E-mail:
3rd Child Name: Phone: E-mail:
4th Child Name: Phone: E-mail:

Additional Information

Please check all that apply

I am
a current member of AMSA
interested in visiting the church
interested in becoming a member
a former member of AMSA
a relative of a member (cousin, grandmother, etc.)
other:

Please add any other comments below:

I would like to receive e-mails when the website is updated.




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