Indianola Communicty Church
Home   |   About Us   |   Ministries   |   Media   |   Resources   |   Sign-Up Central  |   News & Events  |   Contact Us  

 

Update Contact Information

Moved recently? Have a new phone number or e-mail address?
If any of your contact information has changed, we'd love to know. That way we can communicate more quickly and efficiently with you.

Please fill in the required fields* before submitting this form (those with an asterisk*).

Thank you!


*First Name  
*Last Name  
*Previous Address  
*Previous City  
*Previous Zip  
Previous Home Phone  
Previous Work Phone  
Previous Cell Phone  
Previous E-mail  

New address/information:

*New information
as of this date:
 
*Current First Name  
*Current Last Name  
Spouse's First Name  
Spouse's Last Name  
Children Living With You
Please list first name,
last name, and
date of birth for each.
 
*Current Address  
Current City  
*Current Zip  
*Current Home Phone  
Current Work Phone  
Current E-mail  
Spouse's Work Phone  
Spouse's Cell Phone  
Spouse's Email  
Comments/Questions  



  Home  |   About Us  |   Ministries  |   Media  |   Resources  |   Sign-Up Central  |   News & Events  |   Contact Us  

Indianola Community Church
Phone 515.961.8311 · Fax:   515.961.0309 · Email:  icc@indianolacc.org
14424 Kennedy Street · Indianola, IA 50125
Map & Driving Directions
Service Times: 9:00 AM & 10:45 AM