Connect Card

Hi!

At Portlife we are all about knowing, loving and serving God and others; we'd love to get to know you!

Please fill out this form to give us your contact details and some other basic information so the right person can contact you.

Your Details

First Name *

Last Name *

Mobile Number *

Email Address

I live in Adelaide

Suburb

I live elsewhere in Australia

City and State

I live overseas

Country

Information

Why are you filling out this connect card?

How would you like us to contact you?

Questions or Comments

Is there anything else you'd like to ask or tell us?

Tip: If you have a question or prayer request, please write it here

Thanks for contacting us. We'll be in touch soon!

Privacy

We will carefully look after the information you give us and store it securely in our church database. It will only ever be used for Church purposes and will never be shared outside our staff or pastoral care team unless you give us permission to do so. You may request that we remove your information from our database at any time. For a copy of our privacy policy, click here.