Newcomer Form

 Newcomer Information FormE11_6172

 Welcome to the Church of the Incarnation!

We ask you to provide the following information so that we can add you to our mailing list and send you copies of any special announcements. This does not commit you to becoming a member at this time. We hope you will get to know as and like what you see!

    Your Name (required)

    Spouse's/Partner's Name

    Child's Name (1)

    		Child's Age
    Child's Name (2) Child's Age
    Child's Name (3) Child's Age
    Address: Street E-mail
    City/Town Postal Code
    Home Phone #
    Cell Phone # (Yours) Cell Phone # (Spouse/Partner)
    Business Phone # (Yours) Business Phone # (Spouse/Partner)
    Addition Information or Questions

     .

    Please Mark

    I would like to become a member

    I would like to use offertory envelopes

    I would like to use pre-authorized monthly bank withdrawal

    I would like to receive the Niagara Anglican/Anglican Journal

    I would like to be on your email list

     .

    Please let us know where your heard about us?