Citizen Church UK - Electoral Roll Form

Citizen Church Contact Details (and Electoral Roll)

First Name

Last Name

Age

Address

Street

City

County

Post Code

How long have you been attending Citizen Church?

Less than 6 months

More than 6 months

Which service(s) do you regularly attend?

The 8.45 - Pontypridd

The 11 - Cathays

The 11 - Pontypridd

The 4 - Senghenydd

The 6.30 - Cathays

Have you been baptised?

Yes

No

Unsure

Do you want to be included on the Electoral Roll?

Yes

No

I give permission:

For my details to be added to the database

To receive the monthly emails

To be contacted by the team

Let us know here if you want to know anymore about the life of Citizen and how to get involved, or simply to connect with a member of the team about anything.

Citizen Church Contact Details (and Electoral Roll)

TO SEE THE NATION KNOWING JESUS

Connect@citizenchurch.org.uk

Charity Number: 1192813

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