Change of address and information form
Members only!

If we do not have your correct address and/or
email address please fill out this form!

Please fill in blanks.
(All blanks are optional)

First name *
 Last name *
Nickname or other names you have gone by. *
 Your CK # *
Street address
City
 State or Province
ZIP or Postal code
 Phone Number
E-mail address - Please
What church do you attend?
Church Affiliation
 Church Phone Number
Church Affiliation (other)
Optional Questions
Is there someone you would like to sponsor to a Koinonia Weekend?
Would you like more information on how to sponsor someone and what you should do?
Do you play an instrument?
Would you like to serve on a weekend?
Would you like to serve on the Koinonia Board?

“If you are interested in serving on the Nominating Committee
or the Continuance Board, please call Regina Edwards or
Jim Litt. The Nominating Committee will be convening
this month! Jan. 2008”

Would you like to serve on the nominating
committee for the Koinonia Board?

Would you like an opportunity to “Give Back” to Koinonia,
and share the Love you received on your weekend? Click Here
Would you like to host a reunion at your church?
We are in need of people who would like to host one of our monthly reunions at their own
church and/or help host at a different church. Would you like to help host a reunion?
Idea's, comments and/or suggestions: