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Update your Information

If you would like to update your contact information, please fill out the areas below. You must put your name and then update all fields where a change has occurred. Thank you for helping us keep our records current.


Main Contact


   Mr.    Mrs.    Miss    Dr.

First Name

Last Name
Birthdate

Address 1

Address 2

City

State

Zip

Home Phone

Work Phone

Cell Phone

Email 


Spouse Information


    Mr.    Mrs.    Miss    Dr.

First Name

Last Name
Birthdate

Work Phone

Cell Phone

Email 


Children under 18 living at home:

 Family Member Name  Gender  Date of Birth  Grade
  M  F  
  M  F
  M  F
  M  F
  M  F
Any other family can be added in the comment section.


How did you hear about us:
 
  Family    Friend Direct Mail   Newspaper
  Internet   Radio    Phone book  Saw Building
Other: 



I would like more information to get involved with:

Children's Ministry    Community Groups
Student Ministry     Men's Ministry
Recreation  Women's Ministry
Prayer Team   Music/Band/Sound
Hospitality  Greeters/Ushers
Landscaping   



Other comments or information you need for us to know:

6000 Old Canton Road; Jackson MS 39211 | p.601.956.6974 | f.601.956.6987 | info@christunitedjxn.com ::: LOGIN | REGISTER | SITEMAP