New Visitor Form
November 1, 2004
__________________________ Unitarian Universalist ChurchWELCOME and PLEASE PRINT all information:
Date: ___/____/____
Name(s): ________________________________________
Phone: ________________________________________
Email: ________________________________________
Address: ________________________________________
City: ____________________ State: ____ Zip: ________
Children:
Name: _____________________________ Age: ____ School Grade: ____
Name: _____________________________ Age: ____ School Grade: ____
Name: _____________________________ Age: ____ School Grade: ____
Thank you for coming! Please help us and Check all those that apply:
1) Would like to receive a copy of our newsletter? ____
2) How did you hear about us?
____ Word of Mouth
____ Friend/Relative
____ Yellow Pages
____ White Pages
____ Radio Spots
Newspaper Religion Notes:
The Star: ____ Main Saturday Edition
____ Johnson Co. Supplement
____ Star Advertisement
Other Newspaper ___________________________
Other_______________________________________
Welcome and Thank You for completing this form!
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Last updated on Wednesday, September 14, 2011.
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