Connection Card - Mims Baptist Church

Today's Date *

Service Time *

9:00 AM

10:40 AM

Gender *

Marital status *

Phone number *

Birthdate *

Address *

Household members

Check all that apply. *

First Time Guest

Returning Guest

New to Area

Out of Town Guest

Are you looking for a church home? *

If you were to die today, are you certain you would have eternal life with God in heaven? *

How did you hear about us? *

A gift was left at my home

Social Media

Word of Mouth

Other

How can we pray for you?