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HRC MEN CONTACT FORM
We'd love to collect your info to keep you connected with the life of HRC.
Please fill out the following information to help us stay connected!
First Name
Last Name
Birthdate
Month
January
February
March
April
May
June
July
August
September
October
November
December
Date
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31
1912
1913
1914
1915
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1917
1918
1919
1920
1921
1922
1923
1924
1925
1926
1927
1928
1929
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1931
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1959
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1961
1962
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1967
1968
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1971
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1973
1974
1975
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1977
1978
1979
Year
1980
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1982
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1984
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1991
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1998
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2000
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2007
2008
2009
2010
2011
2012
2013
2014
2015
2016
2017
2018
2019
2020
2021
2022
2023
2024
2025
Phone Number
Email
What is the best way to contact you?
Call
Text
Email
What activities would you like to see the Men’s group doing? Are there any activities that we are doing now that we should continue to do? (Example: Men’s Breakfast)
Can you share a Miracle that God has done in your life or life of a family member?
What do you do for work?
Do you any special talents or hobbies? (Examples: Cooking, painting, mechanic, landscaping, roofing, etc.)
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