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Become part of our family!

Dear Sir or Madam,


Please take a few minutes of your time to complete

the following questionnaire to be part of the PIWC Brussels family!


So in Christ we, though many, form one body, and each member belongs to all the others. (Romans 12:5)

Secured
1

First + Last name

2

Phone

3

City

4

Have you received Jesus Christ as your Lord and personal saviour?

Select one or more answers
5

Please tell us more about yourself and how we can help you.

6

How did you find out about PIWC Brussels

Please select one answer
7

How would you rate today's Sunday service?

1 – Not so good 2 – Could be better 3 – Good 4 – Very Good 5 – Amazing, Spirit-led