Connection Form • East Ellijay Baptist Church, Inc.

Welcome to East Ellijay Baptist Church!

We would love to get to know you!

Please complete the following form so that we can get to know you and the best way that we can minister to you. We look forward to speaking to you soon!

First Name *

Middle Name

Preferred Name

Last Name *

Mobile Number *

Email Address

Date of Birth

Home Address

Home City

Home State

Home Zip Code

I want to know more about...

Tip: What information can we provide you about East Ellijay Baptist Church?

How can we pray for you?