Name Change Request Form
If you have moved or changed your name, please use the form below to update your contact information with the church office. Red = Required Field
Old Information
First Name: Last Name:
Old Address: Old City: Old Zip:
Phone: Alternate Phone:
Email Address:
New Information
New Address: New City: New Zip:
Email Address: Birth date:
Ministry Involvement Best time to contact you? Morning Afternoon Evening
Please Note: If after pressing submit, you do not see a "Thank You" page, your form did not go through. We are very sorry for any inconvenience. Sometimes there may be technical issues, so please be patient. If you are not certain that your name change request has been received please call the church office at (864) 224-5909.