ALPHA SIGN UP FORM
Personal Details
This information is for the use of the Colac CFC Team to help connect with you.
Any information provided is private and confidential, and will not be shared or sold to third party providers.
First Name
Last Name
Gender
Male
Female
I want to sign up for the...
Alpha Course (about what following Jesus means)
Alpha MARRIAGE Course
WHICH BEST DESCRIBES YOU RIGHT NOW...
Please select one more options from the following list
*
I DEFINATELY WANT TO DO THIS!
I WANT TO - depending on the time
I'd like to find out more.
I wouldn't call myself a Christian at the moment (that's ok!)
I would call myself a Christian
I have other questions (let us know below!)
Comments / Questions...
Communication Preference
Select one of the following
Text
Messenger
Phone call
Email
Phone Number
Email Address
Is there a best time for us to contact you?
Home Address (Optional)
Home City
Home State
Home Postcode
THANK YOU - please click the '
submit'
button below!
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(Office use only - Action? Followed up by:
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