We’re currently working on updating our records in order to compile a new church directory. Please complete this form and return it to the office via “snail mail,” or email the information to ccooper@stjme.org.

Thank you.

Name(s): ____________________________________________

Address: ____________________________________________

Telephone: __________________________________________

Email address(es): _____________________________________

Your birth date: _______________________________________

Birthdates of other family members:

1. ___________________________________________________
2. ___________________________________________________
3. ___________________________________________________
4. ___________________________________________________
5. ___________________________________________________

Wedding/Commitment Ceremony
anniversary: _________________________________

St. John-St. Matthew Emanuel Lutheran Church
283 Prospect Avenue
Brooklyn, NY 11215
718-768-0528