Name *

First Name

Last Name

Phone

(###)

###

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My Involvement Today: *

I attended in person.

I watched online.

I gave my life to Jesus Christ.

I rededicated my life to Jesus Christ.

I would like to be baptized.

I would like to become a member.

I want someone to contact me.

Name *

First Name

Last Name

Please add me to the church email.

(You will receive bulletins and important information from NLC. We will not sell your information.)

Yes

Phone *

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

My Involvement Today: *

I attended in person.

I watched online.

I accepted Jesus Christ as my Savior.

I rededicated my life to Jesus Christ.

I would like to be baptized in water.

I want someone to contact me.

Name *

First Name

Last Name

Phone

(###)

###

####

How do you want your prayer request handled? *

This is a confidential prayer request (only the staff will see it).

Please add this to the NLC Prayer Facebook group.

I want someone to contact me and pray with me.

Name *

First Name

Last Name

Phone

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country