Haverhill Christian
Church
Pictorial Directory Update 2008
This year's directory is taking
on a new format. Each family will have a page with
their picture and information included. Please fill
out this form and return it to the church office by March
16th or mail. If you need your picture taken or would
like an updated picture for the new directory, please see
Larry after services March 2, 9 or 16.
Please print this form and
either bring it to the church by March 16th or mail it to
the church office before March 14th at:
Haverhill Christian Church
10275 SW Haverhill RD
Augusta, KS 67010
Bold items required.
Non-bold items optional.
| Last
Name: |
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|
Address: |
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| Phone
Number: |
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| First
Name: |
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|
Birthday: |
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| Email: |
|
| Cell
Phone: |
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| First
Name: |
|
|
Birthday: |
|
| Email: |
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| Cell
Phone: |
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| First
Name: |
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|
Birthday: |
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| Email: |
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| Cell
Phone: |
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| First
Name: |
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|
Birthday: |
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| Email: |
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| Cell
Phone: |
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| First
Name: |
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|
Birthday: |
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| Email: |
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| Cell
Phone: |
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| First
Name: |
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Birthday: |
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| Email: |
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| Cell
Phone: |
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Anniversary Date: |
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Include additional names
and information on the reverse of this printed page. |
|
Prayer
Requests