ON-LINE MEMBER DIRECTORY INFORMATION
Hope Lutheran Church of Warren ~ 32400 Hoover Road ~ Warren MI 48093
586-979-9055 www.hopelutheranwarren.com
Rev. 2017-07
NAME (Family-Last Name) ______
Address______City ______
State ______Zip______Home phone ____/____-______
Adult/Parent 1: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
Adult/Parent 2: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
Anniversary ______Show (Y/N)
Child 1: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
Child 2: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
Child 3: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
List Additional Family Members on the Back – Return this form to: Merte or Earl or Caradonna or Pawlowski Mailboxes, or scan and email back to:
This is an “On-Line” directory. By signing below you agree to have the above information posted on-line.
This Directory is a secured access Directory, only accessible by approved members with password.
FORM REQUIRED TO ACCESS ONLINE DIRECTORY
If you do not wish this information posted on line, check this box.
If you wish to update the “paper copy” of Church Directory, check this box.
Please sign here______Date______
Adult/Parent 3: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
Adult/Parent 4: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
Anniversary ______Show (Y/N)
Child 4: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required
Child 5: Name ______Cell phone ______/ ______-______Text (Y/N)
E-Mail: ______Date of birth - Show (Y/N) ___/___/___ Year Not required