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Full Name:

Spouse:

Your Age Group (20s,30s,40s,50+)

Children and Age:

Address (Address, City, State & Zip code)

Phone Number:

Email Address:

How did you hear about us? (Website, Social Media, Friend, other)

Visit: (1st, 2nd, 3rd time)

Questions or Comments:

Sunday:

Morning Worship, 9:45 a.m.
Morning Fellowship, 11:00-11:15 a.m.
Sunday School, 11:15 a.m.

Thursday:

Community Bible Study, 6:30 p.m.

3224 Benvenue Road

Rocky Mount, NC 27804

252-977-2400

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