Connect Card Today's Date MM slash DD slash YYYY Name First Last Birthdate MM slash DD slash YYYY Gender Male Female Address Street Address City State / Province / Region ZIP / Postal Code PhoneEmail Marital Status Single Married Widowed Divorced Anniversary MM slash DD slash YYYY Spouse's Name First Last Birthdate MM slash DD slash YYYY Commitment I Have Made a First-Time Commitment to Follow Jesus Christ. I Am Renewing My Commitment to Follow Jesus Christ Would You Like Someone From the Church to Contact You? Yes No Δ
