LIVING FAITH CHURCH, IBADAN

FIRST TIMERS/NEW CONVENT

CONVERT SLIP

Date____________
Name of counsellor________________________________________________________________________
How did u get to know about this church? Please click applicable box below:
TV RADIO BANNER PERSONAL CONTACT HAND BILL
HOUSE FELLOWSHIP TAPE(AUDIO/VIDEO) OTHER (Pls pecify)
Name:________________________________________________________Sex M F
Occupation:_____________________________________________________ Marital Status:____________
Address(Res):_______________________________________________Nearesst B/Stop:_______________
Office Address:___________________________________________________________________________
Phone no:__________________________________________________________ E-mail:_______________
Invites Name & Phone No:__________________________________________________________________
I am giving my life to christ for the first time I am rededicating my life
Would you like to be a member of this church? YES NO
Can we visit you? YES NO WHEN?______________________________________________
Prayer request:___________________________________________________________________________
FOR OFFICIAL USE ONLY
Name of Counsellor:_______________________________________________________________________
Located? YES NO if no, why________________________________________________________
________________________________________________________________________________________
NAME OF COUNSELLOR/WSF/MINISTERS/SIGN/DATE: ___________________________________________