HCEC Online Response Card

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SERVICE INFO

 
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PERSONAL INFO

 
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ADDRESS INFO

 
 
CONTACT INFO

 
 
 
Name and Ages of Children (3-year-olds through high school)
 
 
 
 
MEMBERSHIP SIGN-UP

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FOLLOWUP

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MAILING LISTS SIGN-UP

The following are distribution lists or mailing lists for Harvest. Most of the information is sent by email or text message.
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NOTES / Prayer Request / Praise Report

If this is a Prayer Request, please be sure to complete your contact information above.
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REFERRAL INFO

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Response Card Upload

Description

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