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Church Directory Form

Church Directory 

If you consider LEC your home Church and would like your name in our Church Telephone Directory   please fill in the information below and place it in the offering plate or in the office mailbox (U6) in the foyer. If your name is already in the Directory, please fill in any missing information or changes to help us update our files.    Thank you for your co-operation!

  PLEASE PRINT 

Family Name: _________________________________________ 

Maiden Name:_________________________________________ 

First Name:____________________________________________ 

Street:________________________________________________

City/ Town ____________________ ___Prov.________________ 

Postal Code: ______________Tel :(_____) __________________ 

E. Mail Address: ________________________________________ 

Names and Birthdates (with year) of all FamilyMembers:

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