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Binkley Baptist Church Contact Information Update: please complete all applicable fields, and use the "Comments" field at the end for any additional info or questions.
Name
Publish in directory
Yes
No
Cell/Work phone
Publish in directory
Yes
No
Street Address
City, State, Zip Code
Publish in directory
Yes
No
Spouse/Partner Name
Publish in directory
Yes
No
Cell/Work phone
Publish in directory
Yes
No
Home Phone
Publish in directory
Yes
No
Email Address
Publish in directory
Yes
No
Email newsletter
Yes
No
Email weekly announcements
Yes
No
Email bulletin
Yes
No
Email Sermon
Yes
No
Spouse/Partner Email (if appl)
Publish in directory
Yes
No
Email newsletter
Yes
No
Email weekly announcements
Yes
No
Email bulletin
Yes
No
Email Sermon
Yes
No
Children's Names and Ages (if applicable)
Publish in directory
Yes
No
Binkley Church may use photos of me or any of my family members in Binkley printed materials, or on Binkley's website, not to include our names. (required)
Yes
No
I would like a paper copy of the newsletter sent to my home. (required)
Yes
No
Add me to the death and emergency notification email list.
Yes
No
Comments:
