HOUSEHOLD INFORMATION AT A GLANCE

* Family Name(s):

* Household Type:

* Mailing Address:

* Primary Household Contact:

* Spouse or Partner:

* Primary Contact Telephone:  (Please identify as Cell, Home, Work, etc)

* Permission to publish number for others in congregation to see, i.e., directory, ministry sheets, etc.?

* Primary Contact E-mail:

* Giving Preference:

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