First Baptist Church of Holland

Date Input

First Name

Last Name

Are you a regular attender?

Yes

No

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Email

Phone Number

Address

Apartment, suite, etc.

City

State

Zip/Postal Code

How many times have you visited our church?

This is my first time

A few times

I haven't yet

How did you hear about us?

A friend

Church website

Social media

Mailer or flyer

Anything else you'd like to share or ask about?

Connect card