Contact Card

Check one

Full Name *

First Last

Phone *

Email *

Address

Let us know how you heard about GPC

Please check all that apply

I am interesting in

Confidential Prayer Requests, Praise Report and/or Comments:

Prayer requests go out to the prayer chain.

Harvest Time

Please write in the box above the names of those you’d like to see give their lives to Christ this year.

Questions or comments?

A Panda is black and ?

Name

This field is for validation purposes and should be left unchanged.