0.   Name: Joseph Morton Walter Shmoe                                                                                                             

      Born: 04/01/50 Walla Walla Washington                                                                                                       

      Baptized: 05/01/50 St. Wally’s Church, WA                                                                                                  

      Confirmed/received: 04/01/66  St. Wally’s Church, WA                                                                                 

      Married: 04/01/76  Hippie Haven Chapel, Mt. Rainier, WA                                                                           

      Address: 141 Happy Happy Lane, Scotts Valley 95066                                                                                   

      Email: schmoe@e2brutus.com                                                                                                                      

      Phone: 831-555-1212                                                     cell: (optional)                                                        

 

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St. Philip’s Member Update

Thank you for helping us keep accurate and complete records by filling in all applicable spaces for ALL members of your family, including children..  Please bring the completed form to church by July 1.

THANK YOU!