Church Directory Entry Surname/Family Name*First Names*Please separate first names with a comma ","Are there children's names to include in this entry?*YesNoChirdren's NamesPlease separate first names with a comma - ","Home Phone Number*Mobile - 1Please enter First Name and mobile number if applicableMobile - 2Please enter First Name and mobile number if applicableAddress*Town*Email - 1Please enter the first name followed be an email addressEmail - 2Please enter the first name followed be an email addressPostcode*Consent To Publish*I give my permission to CPCC to publish this information in the Church Directory. I agree
