Church Directory Form

Name *

First Name

Last Name

Address *

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone *

(###)

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Spouse Name (if applicable)

First Name

Last Name

Spouse Phone

(###)

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Directory Photo *

I will have my picture taken at the church on August 17, 24 or 31.

I will email my own photo to the church office: kimberly.abernathy@cpcfayette.com, or text to 901-335-5918.