Visitor Registration Form

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* 1. Contact Information

Name:

Address:

City, State

Zip Code

Email Address:

Phone Number:

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* 2. Family or friends watching with you?

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* 3. I want to stay connected! sign me up for the email blast.

Yes

No

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* 4. Please contact me about:

Know more about CrossWinds

Talk with a Pastor

Dedicate my life to Christ

Join a Life Group

Sign up for Membership Class

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* 5. Which campus did you view?