First name*

Newsletter Address Form

If you fill out the information in the form below, your name will be added to the Pleasant Street United Methodist Church mailing list. In addition to the monthly newsletter you will receive special mailings from time to time.

* indicates information that is required. You may include other information if you wish. Please indicate the number of at home children in your family. You may be asked for names and ages at a later date.

Privacy Notice

The church does not share your mailing list information with other parties without your permission. The information on the form will be transmitted by unencrypted e-mail to the web master and membership coordinator and entered into the church membership database. The e-mail will NOT be retained.

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If you wish, you may enter your spouse and children’s (with age) names in the comments box.