Name* First Last Address Street Address City StateAlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code PhoneEmail* Please list the names of any others who are worshiping with you and their relationship to youPLEASE SELECT THE ITEM THAT BEST DESCRIBES YOUThis is my first time to worship with PalmsThis is my second time to worship with PalmsI regularly attend PalmsI’m a member of PalmsI’m a member of another church but I worship online with PalmsHow did you hear about Palms (if you are new to worshipping with Palms)WHERE DO YOU WORSHIP WITH US ONLINEWHERE DO YOU WORSHIP WITH US ONLINE Palms Webpage Facebook YouTube OtherNEXT STEPS - I WOULD LIKEI WOULD LIKE Info on Online Classes & Groups Info on Children’s Ministry Info on Youth Ministry Info on Adult Education Opportunities Info on Opportunities to Serve through Palms Info about What Presbyterians Believe Info on How to Affiliate with Palms To be Contacted by a Pastor To be Added to your E-MAIL List to receive the Weekly E-news Update from Palms (If Not Already) To be Added to your E-Mail List to receive Devotions during the Seasons of Lent and AdventIs there anything else we can help you with?CommentsThis field is for validation purposes and should be left unchanged.
