Example Entry: Married couple with two children
Jones
123 Main
Street
717-555-5555
John &
Marsha
Lebanon, PA
17042
myname@somewhere.com
Jeremiah
Sarah
Family Name:
(required)
First Name(s) -
1
(Married? John & Marsha)
First Name -
2
(children or others at this address)
First Name -
3
First Name -
4
First Name -
5
First Name -
6
(More? Use Special Instructions)
Street Address:
(required)
City, State, ZIP:
(required)
Home
Phone:
(Type over entry to add your phone #)
Email:
(required for church email updates)
Please select one of the following:
We are Messiah members updating our information in the Directory
We are Messiah members adding our information
to the Directory
Special Instructions:
For email entries, a message will be sent to
ask you to verify your information - just reply to it.