CONNECT CARD

Welcome to Williamsport Assembly of God! We want to hear from you and help you take the next steps in getting connected!

* Indicates required field

Name *

First

Last

HOW DID YOU HEAR ABOUT OUR CHURCH? *

Phone Number *

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Here you can put general comments, praise reports, prayer request, etc. *

Other Information & comments *

Submit