1.What is your name(s)?

2.What is your email address(es)?

3.What is your phone number(s)?

4.What is your preferred way of contact?

By email

By phone call

By text message

No preference

5.What areas are you interested in getting more information about at Ross Road? (Check all that apply)

Care Groups

Being a part of a Ministry Team

Membership

Other (please specify)