Bethel Baptist Connection Card - Bethel Baptist Church

Name*
Prefix First Last Suffix
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone
Email*
Birthdate
Month
Day
Year
Untitled
- I am new here
- I would like more information about the church
- I would like to make a decision for Christ
- I would like to be baptized
- I want to join a Bible Fellowship Group
- I would like prayer
Additional Comments/Prayer Request
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