UPDATE ADDRESS

 

Please keep the church office and clusters informed whenever you have a change of address or telephone. Simply fill out the fields below that apply:

Change of Address / Phone / Email Form

Name:

Old Street Address:

Old City, State, Zip:

Old Home Phone: format = xxx-xxx-xxxx

Old Email Address 1:

Old Email Address 2:

NEW Street Address:

NEW City, State, Zip:

NEW Home Phone: format = xxx-xxx-xxxx

NEW Email Address 1:

NEW Email Address 2:

Do you grant permission to use email address(es) for LPC Cluster announcements:

Email Address #1: Yes No
Email Address #2: Yes No

May we publish your email address(es) in the LPC Email Directory?

Email Address #1: Yes No
Email Address #2: Yes No

If there is any information you need to change not covered by this form, or if you have any additional comments, please type in here: