Connection Card

First Name

Last Name

Email

Phone

Address

Birthday

Gender

Male Female

Marital Status

Single Married Other Divorced Separated Widowed

When did you visit

What campus did you visit

Olson Farms Bluffton Mudsock TV Online National TV

Are you a first-time guest?

Yes No

How did you hear about ITOWN Church

Driving By/Flags Friend/Family/Coworker Mail Out TV Website/Social Media Other

T-Shirt Size

Confidential

Work Entry