Lifestreams e-Care Card

Date:
Name/s:
Address:
Post Code:
Home Phone:
 Work Phone:
Mobile:
Email:
Age:
 0-12 13-15 16-17 18-25 26-30
31-40 41-50 51-60 61+  
Visit Number:
  
I came as a guest of:
I would like someone to contact me
I am interested in talking to someone about becoming a Christian
I am interested in attending a Small Group
I am interested in Baptism / Membership
I am interested in being involved in an area of ministry
I would like to be discipled
I would like to disciple someone
Prayer Requests: Email Prayer Team Confidential
 
Today I sense God saying:  
   
A message of encouragement for:
Message:
  
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