Connection Card

Visitor Profile Form

Thank you for visiting with us. Please fill out this visitor profile so we can continue to connect with you!

Date
MM slash DD slash YYYY
Which worship service/Bible Study are you attending?*
- Sunday - 7:45 a.m.
- Sunday - 10:45 a.m.
- Sunday - 12:45 p.m.
- Wednesday - 7:00 p.m.
Name*
First Last
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone
Email
Please place me on the email list to receive church news & events
- Please place me on the email list to receive church news & events
Number of persons visiting with you today
Church Affiliation
I am seeking a church home
- I am seeking a church home
How did you hear about our church?
- Ebenezer Member
- Friend/Co-Worker
- Drove By
- Social Media

7707 Allentown Road
Fort Washington, Maryland 20744
Phone: (301) 248-8833
Hotline: (301) 248-9850

Worship Services (on-site and virtual)
Sundays at 7:45 a.m. | 10:15 a.m.
Bible Study (Virtual)
Wednesdays @ 7:00 p.m.

First Name

Last Name