We are Family — CHRISTIAN ASSEMBLY UPSTATE

CAU family Directory Subscribe/Update

Name

First Name

Last Name

Email Address

Cell Phone #

(###)

###

####

Home Phone #

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Date of Birth

MM

DD

YYYY

Anniversary

MM

DD

YYYY

Additional Members

Please use a new form for each household member if they have their own cell phone or email.