Directory Form

Ebenezer United Methodist Church

144 Ebenezer Church Road, P. O. Box 70, Oldhams VA 22529

Founded 1838 - Sharing God's Love Through Service

Spouse's Email:

Spouse's Cell:

Home Phone:

Street or P.O. Box:

State:

Zip Code:

Type your name below if you give permission for the above information to be included in the EUMC directory:

EUMC DIRECTORY

EUMC is developing a directory of members and friends, and we would like to include you and your family. Because your privacy is important to us, we want to include only that information that you choose to make available. This directory will be available to members and friends in printed form. (IT WILL NOT BE POSTED ON THE CHURCH WEB SITE!)

Please provide only the information that you want included. Typing your name at the bottom of the form gives permission for the information you provided to be included in the church directory.

Name:

Children:

Email:

Cell:

Date:

Would you like an informal picture of you/your family included in the dirctory?:

Spouse

If you scroll to the top of the page, after pressing submit, you will see a thank you message.

City: