Holy Spirit
Catholic Church

Mims, Florida

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Contact Update

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Update your Contact Information here. Call the parish office if it's more complicated than what this form can handle. (321) 269-2282.
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- Family Last Name REQUIRED
  The name used for offertory envelopes
  Please fill out this field. Please enter valid data.
- Update Contact Information
  
  Date REQUIRED Please fill out this field. Please enter a date.
  
  Do you have a landline phone? (Not mobile)
  Do you have a landline phone in the home?
  Yes, we still have a landline. No longer have a landline phone in the home.
  
  Landline Phone Number
  The phone in your home.
  Please enter a phone number.
  
  Do you communicate with a mobile phone?
  Do you have a landline phone in the home?
  Yes, and I accept text messages, too. Yes, but I do NOT text. No mobile number.
  
  Mobile Phone Number - Head of Household
  Mobile Phone number for head of household
  Please enter a phone number.
  
  Mobile Phone Number - Spouse
  Mobile Phone number of the spouse
  Please enter a phone number.
- Email -- Head of Household
  Your email address
  Please enter an email address.
- Email -- Spouse
  Your spouse's email address
  Please enter an email address.
- Address Update
  Only if the information has changed.
  New street address. We moved! New mailing address. We did not move.
- Snail mail - Street Address
  What's your new address?
  Please enter valid data.
- City REQUIRED Please fill out this field. Please enter valid data.
  
  State REQUIRED Please fill out this field.
  
  Zip REQUIRED Please fill out this field. Please enter a zip code.
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