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Churchwide Update
Independent Presbyterian Church wants to stay connected with YOU!
Please help us update our records with your current information.
Thank you for your time!
 
 
 
Name (required)  

 
Are you an IPC Member 
-or Visitor
   
Address 
 
City 

 
 
State 

 
 
Zip Code 

 
 
Home Phone 

 
 
Work Phone 

 
 
Cell # 

 
 
  Single -or- Married? 
   
Children's Names 
w/ birthdays (month/day/year 
 
 
Spouse's Name 
   
Anniversary 
(month/day/year 
 
   
   
e-mail (required) 
 
 
Birthday 
(month/day/year) 
 
 

 
Which IPC Sunday School  
 Community do you attend? 
   
Are you an IPC Choir   member

Do you wish to receive our weekly e-news via e-mail? 
Yes    No

 
 
Do you wish to receive our monthly Windows newsletter in the mail? 
Yes    No