Connection Card | The Harvest Vineyard Church

Use this form to let us know more about you! We'd love to know about your spiritual decisions or prayer requests. Please complete the following fields, then click Submit.

Your Name (Required)

Contact Info (Required)

Please provide your email or cell phone number for your preferred method of contact.

Your Address

I am a:

First Time Guest

Regular Visitor

Member

Birthday

Prayer Requests

How can we pray for you?

My Decision Today: I want to...

Let us know if you made a decision today or if you want us to follow-up with you.

Commit my life to Jesus

Get baptized

Renew my commitment to Christ

Become a member

Join a small group

Speak with a pastor

Questions? Comments?

The Harvest Vineyard Church

308 E. Black St.
Martinsville IL 62442

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