Church Directory Information

Your Name(s)

as you want printed in the directory

Children's Names

for children living at home or in college

Address

including City and Zip Code

Home Phone Number

if you have a dedicated home phone line

Mobile Phone Number(s)

If more than one, indicate to whom each belongs

Email Address(es)

If more than one, indicate to whom each belongs

Birthdays / Anniversary

Please indicate the birthday (month & day) for each family member, and a wedding anniversary if applicable