Church Directory — Long's Chapel CC

Please fill out the form to keep our church directory up to date! If there is only 1 persons in your household, you may skip the Name 2 section.

Name 1

First Name

Last Name

Phone 1

(###)

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Email 1

Name 2

First Name

Last Name

Email 2

Phone 2

(###)

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Additional Household Members

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country