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 Please fill out the requested information in its entirety to be added to the Covenant Chapel mailing list and church directory. For your security, this information will not be made public. It will only be made available to our church community by a password-protected Web page.


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Address 2:
Apt/Suite #:  
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*Zip Code:
*Primary Phone: ( )    *HOME      MOBILE
Secondary Phone: ( )     HOME      MOBILE
*E-mail Address:
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  If yes, date of baptism: (DD/MM/YYYY)



Have you previously been confirmed?*
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Are you currently a member of another church?*
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Member of the KAPC 300 Chapel Road   ·   Manchester, CT 06040   ·   (860) 643-4738, ext. 13
e-mail: info@CovenantChapelCT.com

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