Chancellor Church Directory
Fill in this form for entry into the Chancellor Church Directory.
A sample entry is provided to help with selecting the correct fields and data entry.
At the end of the form please ensure to mark the “Permission” check box to allow us to include your entry into the Church’s 2022 Directory.
Family Name: Smith
First Names: Jeremy, Wilma
Children’s Names: Sarah, Alice, James.
Address: 12 Wattle Court
Home Phone: 0 5451 4541
1st Mobile: Jeremy 0404 123 123
2nd Mobile: Wilma – 0405 123 321
Email 1: Jeremy – firstname.lastname@example.org
Email 2: Wilma: email@example.com
[X] Permission to Publish