Please provide the following contact information:

Name
Address
City
State
Zip
Home Phone
E-mail

 

Number in Household Attending With You:

Adults
Single Adults
Seniors (60 and over)
Children
Age Child # 1
Age Child # 2
Age Child # 3
Age Child # 4
Age Child # 5
Age Child # 6
Total Attending

 

Special Needs (Check all that apply):

 

Wheelchair

Blind

 

Serving Opportunities (check all areas of interest/talent/experience)

Piano (Accomplished)

Piano (Other)

Choir

Special Music

Other

 

 

Questions,  or more information?

        Please contact us at 505-889-2939 or by e-mail at mail@cognm.org

   

Mailing Address:

Church of God, New Mexico       

P.O. Box 35365,

Albuquerque, New Mexico 87176

Telephone: 505-889-2939

E-mail:  Church of God