Fillable Visitor Card and Survey

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Name *

First

Last

Email *

Comment *

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How did you hear about St. Luke? *

Internet Search Social Media Word of Mouth Other

If Other please specify: *

What is your age? *

Less than 13 13-18 19-25 26-35 36-50 Over 50 Prefer not to say

What is your household income? *

Less than $10,000 $10,001 - $25,000 $25,001 - $40,000 $40,001 - $70,000 $70,001 - $100,000 Greater than $100,000 Prefer not to say

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Address

St. Luke Lutheran Church
4595 SW California Street
Portland, OR 97219-1690

503-246-2325
office@stlukechurch.com

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