Online Connection Card

First Name

Last Name

Cell Phone

Address

Suite/Apt

City

State

Zip

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How often do you attend KBMI Church online

My Decision Today:

I'm committing my life to Christ I'm renewing my commitment to Christ I need to talk to a pastor

I would like more information about

Becoming a Christian Getting Baptized Joining KBMI

Please list any additional comments or prayer requests below.