Plan Your Visit Form - Salvation Ministry of Jesus Christ

Name *

First

Last

Spouse's Name

First

Last

Email *

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Have you attended our church before?

Were you invited by a current member?, if so who?

Which service are you attending?

Are you visiting because you saw our live streaming service?, If so which one? *

How many people attending with you?