Love, Joy, Peace...
Connection Card

Use this form to let us know about decisions or prayer requests, or to let us know you're here.

We are truly a family and want to connect with you, pray with you, and walk alongside you. 

Please complete the following fields, then click Submit.

Your Name (Required)
I am a:
First Time Guest
Member of the Community
Regular Attender
Church Member
Prayer Requests
How can we pray for you?
I am reaching out today because:
Let us know if you made a decision today or if you want us to follow-up with you.
Commit my life to Jesus
Get baptized
Renew my commitment to Christ
Become a member
Join a small group
Speak with a pastor
Questions? Comments?
How would you like us to contact you? (Required)
Coquille Church of the Nazarene
997 W. Central Blvd, Coquille, OR 97423
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