Connect CardThank you for joining our in-person worship experience! Fill out the form below to connect with us. Name * First Name Last Name Email Address * Date of Birth * MM DD YYYY Gender * Laki-Laki Perempuan Phone Number * Address Address 1 Address 2 City State/Province Zip/Postal Code Country Marital Status Married Single Divorced Widowed Are You a First Time Guest? * Yes No Would you like to join us on Connect Group? * Jika Ya, Facilitator Connect Group akan menghubungi anda setelah mengisi form ini Yes No Which service are you attending? * In-Person Service at 10am Online Service at 10am Thank you for sharing your information with us. Do you have any questions or comments you'd like to share? Welcome Home! Thank you for being part of our New Wine Family