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Your Name (required)
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Subject
Your Message
Church Online First Timer’s Card
Church Online First Timer's Card
Church Online First Timer's Card
Title
*
Select title
Brother
Sister
Mr
Mrs
Dr.
Engr.
Pastor
Evang.
Other
Title
First Name
*
Last Name
*
Phone No.
*
Email
Gender
*
Select gender
Male
Female
Birthday
Age Range
*
Earlier than 18
18 - 21
22 - 25
26 - 30
31 - 35
36 - 40
41 - 50
51 and above
Address
Address
Address
Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
Event type
*
Sunday Service
Wednesday Service (Mid-Week)
Special Program
Cell Meeting
Cell Meeting
Prayer & Planning
Bible Study
Outreach
Fellowship
Special Program
*
Mega Online Cell Outreach
Super Sunday
Kindly indicate as appropriate
Service Date
*
This could be any "Service type" date as seen on the form.
New Convert
*
Yes
No
How did you know about Christ Embassy?
Internet
Social Media
Television
Someone invited me
Other
Other
Name of someone that invited you
You may also indicate the person's Social media handle or name if you didn't meet him/her/them in person or physically.
Cell Name
If you're not sure of the person's Cell Name, kindly ask him/her/them through available means to you.
Church
*
Select church
Love World Impact Center
CE Apakun
CE Akoka
CE Chosen
CE Galilee 1
CE Galilee 2
CE Ijede
CE Martins
CE Okeira 2
CE Shangisha
CE Supernatural Arena
Total Experience Center
Kindly ask the person that invited you if you're not sure of the church name
Is there anything you want us to pray with you about?
Data entry by
*
Proxy( is data submitted on behalf of the first timer?)
Self (The first timer himself/herself?)
Kindly indicate if you're filling this form for yourself as a First Timer or on behalf of a First Timer
Church
*
Select church
Love World Impact Center
CE Apakun
CE Akoka
CE Chosen
CE Galilee 1
CE Galilee 2
CE Ijede
CE Martins
CE Okeira 2
CE Shangisha
CE Supernatural Arena
Total Experience Center
Submit
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