Site Registration

Thank you for taking the time to register your details with us. By registering on the website, you are adding your details onto the church database. This will help us serve you better and will also ensure you are kept up to date with church news via email.

Basic Details

Title:

* First Name:

* Last Name:

Date of birth:

/ / (dd/mm/yyyy)

Gender:

* Email Address:

Alternative Email Address:

Send emails to:

Address

Line 1:
Line 2:
Line 3:
Town / City: City:
County: State:
Postcode: Zip code:
Country:

Alternative Address

Line 1:
Line 2:
Line 3:
Town / City: City:
County: State:
Postcode: Zip code:
Country:

Send post to:

Alternative:

Phone Numbers

Mobile:

Home:

Work:

Additional Details

Forums/chatter display name:

Nickname:

Homepage:

Privacy Settings

Connections visible to:

Connections can see:

Site members can see:

The public can see:

Other Details

* Connection to CCD (?) :	Hold Ctrl/Cmd to select multiple items
I'm interested in being part of the next... (?) :	Hold Ctrl/Cmd to select multiple items
I'd like to meet for coffee to find out more. (?) :

Registration

I would like to register for the following areas of the site:

City Church Dundee

Application Information

Please include any additional notes or comments which would help us process your registration more quickly:

* Choose a login-name and password:

* Login name:
* Password:
* Confirm password:

Please read our Privacy Policy to find out how we use this information.

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