Contact Information Change Form

Please follow the directions below if you have changes in your contact information.

1. If you have never given your contact information to the church please go to “Click HERE for Parish Registration/Census Form” and print off the form, complete it, and return it to the church office.

2. If you have eDirectory access (requires an e-mail address), you can check the contact information the church has currently by logging on to the eDirectory. CLICK HERE to go to the eDirectory to check your information.

3. If you do not have eDirectory access, but you HAVE registered with the church, please complete the form below and submit it if you have contact information changes.

4. Please fill out only ONE form per FAMILY.

5. At the end of this form you will be able to indicate whether you want your information published in church directories.

If you have questions please call the church office at 334-793-5802.

Thank you.

Name

Title(s) Mr. Mrs. Miss Ms. Dr.
First name (or names, if married) REQUIRED Please fill out this field. Please enter valid data.
Last name REQUIRED Please fill out this field. Please enter valid data.
My name changed REQUIRED No Yes (If yes, please type former name in box below.) Please fill out this field.
Former name Please enter valid data.

E-mail

E-mail REQUIRED Please fill out this field. Please enter an email address.

Address

Address REQUIRED Please fill out this field. Please enter valid data.
City REQUIRED Please fill out this field. Please enter valid data.

State REQUIRED Please fill out this field.

Zip REQUIRED Please fill out this field. Please enter a zip code.

Phone

Home phone number Please enter valid data.
Cell phone (His) Please enter valid data.
Cell phone (Hers) Please enter valid data.
Which phone number do you want listed as primary? Home phone Cell Phone (his) Cell Phone (hers)
Do you want your phone numbers listed? REQUIRED Yes No Please fill out this field.

Religion

Religion: His Maximum 20 characters Please enter valid data.
Religion: Hers Maximum 20 characters Please enter valid data.

I want to be listed in the eDirectory. The eDirectory is password protected. REQUIRED Yes No Please fill out this field.

I want to be listed in the pictorial directory. This is a book that will have address, email, and phone information. REQUIRED Yes No Please fill out this field.

Special instructions or comments: (Please be brief)

Saint Columba Parish

Dothan

Contact Information Change Form