This is the form that gives MUMC permission to upload your contact information into the One Call Now & Constant Contact systems so you can receive automated messages regarding activities at the church.
Name of person submitting this form: * Email of person submitting this form: *
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Name: *
Select only one of the following phone numbers to go into One Call Now: * Home PhoneCell Phone Please provide number: *
In addition to a phone number, you can also have an email address in the One Call Now system. * Yes, include my email address.No, do not include my email address. If yes, please provide the email address to be used in One Call Now:
Would you like to be included in the weekly Grapevine phone message group? * YesNo
Would you like to be included in the Constant Contact message group? * YesNo If yes, please provide the email address to be used in Constant Contact:
I hereby give my permission for Murphysboro United Methodist Church to upload my name, phone number, and email information as given above, into the One Call Now and/or Constant Contact systems, and to use the system(s) to send me automated messages regarding activities at the church. I realize that I can revoke this permission at any time by notifying the church office.
Electronic Signature (please type your name): * Today's date: *
To prevent automated spam submissions, please enter the characters shown in the CAPTCHA image above.
Hit Send to submit this form to the Church Office.
