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Connection Form

Let's Connect!

Russell wants to connect with you and your family! Please fill out a connection form so we can stay in touch with you and let you know about Russell's upcoming events.

"*" indicates required fields

Name (First/Last)*

Email

Birthday

Address*

City*

State*

Zip*

Cell Phone

No Dashes.

Home Phone

No Dashes.

Marital Status

Spouse Name (First/Last)

Spouse Email

Spouse Cell Phone

No Dashes.

Spouse Home Phone

No Dashes.

Spouse Birthday

Wedding Anniversary

Church Status*

Please Select an Option

Are you, your spouse or your child interested in joining a Russell Memorial ministry?

Youth Ministry

Youth Choir

Childrens Church

Acolyte

Praise Dance Ministry

Young Adult Ministry

Contemporary Choir

Womens Ministry

Womens Choir

Mens Ministry

Mens Choir

Senior Citizens Ministry

Missionary Society

Lay Council

Hot Breakfast Ministry

Food Bank Ministry

Sunday School

Usher Board

Audio Visual Ministry

I am interested in...*

Membership

Serving

Baptism

Salvation

Just Visiting

How did you hear about us?*

Invited by a Russell member

YouTube

Web Search

Facebook

Instagram

Child Name 1 (First/Last)

Child 1 Birthday

Child Name 2 (First/Last)

Child 2 Birthday

Child Name 3 (First/Last)

Child 3 Birthday

Child Name 4 (First/Last)

Child 4 Birthday

Child Name 5 (First/Last)

Child 5 Birthday

Child Name 6 (First/Last)

Child 6 Birthday

Prayer Request

If you would like to submit a prayer request along with this form, please write your request below.

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919-682-2523

russellmemorialcme@gmail.com

703 S. Alston Ave. Durham, NC 27701

Contact Us

919-682-2523

russellmemorialcme@gmail.com

703 S. Alston Ave. Durham, NC 27701