ALTER CALL RESPONSE
INVITATION TO CHRIST RESPONSE
Date of Response:
Your Name:
Address:
City:
State:
Zip Code:
Phone:
Email Address:
Gender:
Male
Marital Status:
Married
Divorced
Single
Separated
Widow / Widower
Age:
Date of Birth (MM/DD/YY):
Why did you respond to the altar call?
Salvation
Assurance of Salvation
Holy Spirit
Re-Dedication
New Member
How did you hear about us?
