New Creations Chapel

6412 National Rd. East ~ Richmond, IN 47374 ~ Phone: 765-935-2790 ~ Fax: 765-935-3961

Email:  info@newcreationschapel.org              Web:  www.newcreationschapel.org

 

Alumni

 

Name:  _________________________________________________________________

 

Address:  _______________________________________________________________

 

City:  ____________________________  State:  _________  Zip:  __________________

 

Phone:  __________________________  Date of Birth:  __________________________

 

Name of Spouse:  ________________________ Number of Children:  ______________

 

Do you have a testimony you would like to share? ______________________________
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WE NEED YOU! Do you have any old pictures of you or anything else that deals with your time here? Send us a copy!

 

Have any memories you would like to share? _________________________________

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THANK YOU FOR CONTACTING US!