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:
_______________________________________________________
_______________________________________________________
_______________________________________________________
_____________________________________________________________________________


