CONNECT CARD

We are so happy you're interested in connecting with VLC! Our team would love to serve you and help you with your next steps.

First Name

Last Name

Spouse's Name (optional)

Email Address

Phone (optional)

Address 1

Address 2

Country

City

State

Zip Code

If you have kids, how old are they?

How many times have you visited VLC? (Online or in person)

How did you hear about us?

1 = "I recently decided to follow Jesus!"

2 = "I'd like to talk to someone about baptism."

3 = "I'm interested in joining a Vertical Group."

4 = "I'm interested in becoming a Partner at VLC."

5 = "I'd like a free Discipleship Essentials book."

6 = "I'd like a free subscription to RightNow Media (Christian streaming service)."

My Next Step(s) [ex: "2, 4"]

Other:

How can we pray for you? (optional)

Anything else you'd like to share? (optional)