Springhill M.B. Church
Wednesday, September 08, 2010
A New Experience for Your Life

Van Pick-Up

 
 

Today's Date     

First Name      

Last Name       

Address          

City                

Zip                 

Home Phone   

Cell Phone      

Email            

If confirmation is needed, please re-enter email address below:

                    

Date You Need To Be Picked Up

                       

Time of Worship Service that you wish to attend:

                       

    

 
CONFIDENTIALITY NOTICE: 
This form contains legally privileged, proprietary and/or confidential information intended solely for the use of Springhill Missionary Baptist Church. If you are not the intended recipient, you are hereby notified that any review, dissemination, distribution, duplication or other use of this form is strictly prohibited.