FBCPO Directory Form

Fill in ONLY the information you would like

printed in the upcoming directory.

If you are listed in the previous directory, fill in any changes

or write "no change". If you wish to be removed from the

directory, please indicate that on this form.

Check the permissions box & click submit when finished.

Name(s)

Minor children living at home

Physical address

Mailing address

Email(s)

Phone#s - Please indicate who/what each # is for

You can request at any time to have your information removed from the FBCPO church directory by calling or emailing the office. Your data is never posted online and will be treated with respect. By clicking below, you agree that we may process your information in accordance with these terms.

I understand that this information will be emailed to the church office to be printed in the church directory and retained in church records for contact purposes. I confirm that I am over 18 years of age.