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Worship Location
*
Island
Mainland
Outside Lagos
Service Date
*
Date Format: DD dash MM dash YYYY
NAME
*
First
Last
ADDRESS
*
Street Address
EMAIL
Enter Email
Confirm Email
PHONE NUMBER
*
MARITAL STATUS
*
Please Select
Single
Courting
Married
Divorced
Separated
SEX
*
Male
Female
WEDDING ANNIVERSARY
Date Format: DD slash MM slash YYYY
OCCUPATION
*
OFFICE ADDRESS
AGE RANGE (tick appropriate box)
*
Please Select
Below 18
18-22
23-27
28-32
33-37
38-42
43-47
53-57
58-60
65 & Above
WHO INVITED YOU?
HIS / HER PHONE NUMBER
IS THIS YOUR FIRST TIME HERE?
*
Please Select
Yes
No
DO YOU WANT TO BE A MEMBER OF DCC?
*
Please Select
Yes
No
I haven't made up my mind yet
PRAYER REQUESTS
*
COMMENTS/SUGGESTIONS
*
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Hello,
Please reach out to us if you need to talk to someone, have enquiries or need counseling, please call or send us a WhatsApp chat on 08077714411 and 08028356363.
Have a blessed day.
welcome to dcc