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Welcome to DCC
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Welcome to DCC
"
*
" indicates required fields
Worship Location
*
Island
Mainland
Outside Lagos
Service Date
*
DD dash MM dash YYYY
Purpose
*
First time worshipping
New Convert
NAME
*
First
Last
ADDRESS
*
Street Address
EMAIL
Enter Email
Confirm Email
PHONE NUMBER
*
MARITAL STATUS
*
Please Select
Single
Courting
Married
Divorced
Separated
SEX
*
Male
Female
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WEDDING ANNIVERSARY
DD slash MM slash YYYY
OCCUPATION
*
OFFICE ADDRESS
AGE RANGE (tick appropriate box)
*
Please Select
Below 18
18-22
23-27
28-32
33-37
38-42
43-47
53-57
58-60
65 & Above
WHO INVITED YOU?
HIS / HER PHONE NUMBER
IS THIS YOUR FIRST TIME HERE?
*
Please Select
Yes
No
DO YOU WANT TO BE A MEMBER OF DCC?
*
Please Select
Yes
No
I haven't made up my mind yet
PRAYER REQUESTS
*
COMMENTS/SUGGESTIONS
*