Bethel Prescott Valley - Connect Card-Guest Member Info

Guest Registration / Member Update Form

First Name

Last Name

Email

Phone Number

Address

Apartment, suite, etc.

City

State

Postal / Zip Code

For guests: How many times have you visited our church?

This is my first time

A few times

Regular attender

For Regular Attenders:

Please Update My Information

How did you hear about us?

Anything else you'd like to share?

Connect Request

Please have a Bethel Team Member contact me