Page 4 | The Mending Point

Use this form to let us know about yourself, any decisions or prayer requests, or to let us know you're here. Please complete the following fields, then click Submit.

Name: (Required)

Birthday

Preferred Method of Contact: (Required)

Check all that apply.

Phone

Text

None

Mobile Number (Required)

Your Address

I am a:

First Time Guest

Second Time Guest

Regular Attender

Member

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

Volunteer for a ministry

Speak with the pastor

Other

Questions? Comments?

He heals the brokenhearted and bandages their wounds.-Psalm 147:3

Solve 5 + 2 = ?

The Mending Point

605 County Road 668
Heflin, AL 36264

churchtrac