Name *

First Name

Last Name

Phone *

(###)

###

####

I would like more information about:

(Choose all that apply)

The Granville Chapel

What it means to be a Christian

Questions about my faith

Help for my personal struggles

I would like to speak with:

(Choose all that apply)

Dan Layman (Pastor)

Austin Finley (Director of Music and Student Ministry)

Dallas Wildman (Director of Children's Ministry)

Anna Seay (Administrative Assistant)

An Elder

A Deacon

Who Would You Like to Pray For You?

(please check all that apply)

Pastor Dan

Elders and Deacons

Prayer Ministry Teams

Congregation