Directory Information
First Name and date of birth
*
Spouse's name and date of birth
Last Name:
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Mailing address
*
Physical address if different from mailing address
City:
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State:
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Zip:
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Your Email Address
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Spouse's email address
Best phone # for him
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Best phone # for her
Names of children living at home (or in college) & dates of birth
Wedding anniversary date
I will email a photo to: helenafaith@bresnan.net
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No
Yes
Online Giving
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