Help Us Improve Our Communication with You
Please take a few moments to fill out your contact information below so that we can keep you in the loop. We are asking everyone in our church family to fill out this information. Over the years, and especially after the floods, a lot of contact information has changed for a lot of people in our congregation. Please do not assume that the church has your correct info.

THANK YOU so much for taking the time to fill out your information. Having accurate information in our database will really help us stay connected with our entire church family.

Rev. Donnie
Rev. Donnie Wilkinson, Senior Pastor
Broadmoor United Methodist Church
 
1.
Please fill in your contact info below.

First Name:
Middle Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
Address 1:
City:
State/Province
(US/Canada):
Postal Code:
Cell phone:
Date of birth:
Goes by name/Preferred name:
Marital Status:
Spouse's name:

2.

Is your home phone # listed? 

yes
no
3.

Is your cell phone # listed? 

yes
no
4.

Please list full names, goes by names, date of birth, and grade level for any children you have (infant -12th grade). 

 

350 characters left.