Virtual Visitor Form
Please fill out this form and click submit.
Thank you so much for joining us in worship! We appreciate your presence online, and we look forward to meeting you in person. Please complete the form below so that we may get to know you a little better.
Name
*
Email
*
This address will receive a confirmation email
Phone
*
Address
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AA
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AE
AK
AL
AP
AR
AS
AZ
BC
CA
CO
CT
DC
DE
FL
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GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MB
MD
ME
MH
MI
MN
MO
MP
MS
MT
NB
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ND
NE
NH
NJ
NL
NM
NS
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NU
NV
NY
OH
OK
ON
OR
PA
PE
PR
PW
QC
RI
SC
SD
SK
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
YT
If someone from the church reaches out to me, I would prefer they do it by:
Please select all that apply.
Email
Phone
Mail
I prefer not to be contacted
Please check all that apply
Please select all that apply.
I would like to be contacted by the pastor
I would like information about becoming a member of Perinton Presbyterian Church
I would like to receive the monthly newsletter via email
I would like to receive the monthly newsletter via US Postal Service
I would like to receive the weekly e-votional from the pastor via email (the e-votional is a brief reflection and some upcoming news and events)
Do you have any comments, questions, or prayer requests?
Submit
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