Email

Phone

Birthday is you choose to be included on the Birthday Board at Bethany

City

State

I would like to know more more about (check all that apply):
Becoming a follower of Jesus
Baptism For Me or a Family Member
Becoming a member of Bethany
Serve at the New Community Shelter
Light the Christ Candle for worship
Serving as an Usher or Greeter
Know more about Men's Coffee
Serving at the New Community Shelter
Learn more about Sunday School
Pray for Bethany's ministries
Youth Group
Discover more about Women in Faith
Explore Bethany's Music Ministry

Prayer request (Make a note if the prayer is for Pastor only)

Email Address