Decisions — FBC Kenmore

Great Decisions!

Did you make a decision today? Maybe you accepted Christ, maybe you want to rededicate your life. Please fill out this form so that we can rejoice with you! Fill out as much info as possible!

Today's Date

MM

DD

YYYY

Name

First Name

Last Name

Phone Number

(###)

###

####

Email Address

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

Decision Being Made

Notes:

Personal Worker's Name

First Name

Last Name