Temple Directory Submissions

 

Online Submission Form

We are in the process of updating and renewing our directory and members information. Please take a few minutes to submit all the requested information for yourself and for each member of your family.

 

First Name:

Last Name:

Street Address:

Apt. #:

City/Town:

State:

Zip Code:

Phone Number: (xxx-xxx-xxxx)

Mobile Phone Number: (xxx-xxx-xxxx)

Email Address:**

Birthday: (mm/dd/yyyy)

Baptism Date: (mm/dd/yyyy)

Current Member? Yes   No


 

If you have any questions please contact the webmaster at: evangelism@templelutheranchurch.com

** If you do not have an email address please enter "none@none.com", we are working on a fix for that requirement.