TEST QR Code Response

Thank you for responding to our letter!

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Head of household name *

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Last

Names of other members in your household *

Address *

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City

State

Zip Code

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Phone Number *

Email *

ACTIVE MEMBERS: Please select one of the following options: *

I am an active SPL member I would like to be a more active SPL member, but I am physically unable I would like a visit / call from a pastor Other - please describe below

INACTIVE MEMBERS*: Please select one of the following options: *

I have joined another congregation (list church name, city & state below) I would like help finding an LCMS congregation in my area I no longer wish to be a member of the congregation I would like a visit / call from a pastor Other - please describe below

Please list new church name, city & state below, or any other information that will assist us in helping you *

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*DEFINITION OF LONG-TERM INACTIVE MEMBER, per Policies of the Congregation booklet, page 18 is "those whose [SPL] communion attendance is nonexistent for one year or more."