Pequea Baptist Church - Communication Card

Communication Card

Welcome to Pequea! We're glad you're here. We would love to serve you and help you get connected.

First Name

Last Name

Email

Phone

Address 1

Address 2

Country

City

State

Zip/Postal Code

How many times have you visited our church?
This is my first time
A few times
Regular attender

How did you hear about us?

Prayer Request/Praise Report (check below if confidential)

This is a confidential prayer request