Care Slip

[av_section min_height=” min_height_px=’500px’ padding=’default’ shadow=’no-shadow’ bottom_border=’no-border-styling’ id=” color=’main_color’ custom_bg=” src=’https://www.bmc.org.za/wp-content/uploads/2020/03/pray_for_you-Square-300×300.jpg’ attachment=’6005′ attachment_size=’medium’ attach=’scroll’ position=’top left’ repeat=’no-repeat’ video=” video_ratio=’16:9′ overlay_opacity=’0.5′ overlay_color=” overlay_pattern=” overlay_custom_pattern=”] [av_three_fourth first min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’] [av_heading heading=’NEED CARE, PRAYER OR FOLLOW UP? – Connect with us by filling in the Care Slip below’ tag=’h3′ style=” size=” subheading_active=” subheading_size=’15’ padding=’10’ color=” custom_font=”][/av_heading] [av_hr class=’default’ height=’50’ shadow=’no-shadow’ position=’center’ custom_border=’av-border-thin’ custom_width=’50px’ custom_border_color=” custom_margin_top=’30px’ custom_margin_bottom=’30px’ icon_select=’yes’ custom_icon_color=” icon=’ue808′] [av_contact email=’info@bmc.org.za’ title=’Disclaimer: Please note that all info submitted here will be kept confidential and is subject to both MCSA regulations and the SA POPI Act. (4/2013)’ button=’Submit’ on_send=” sent=’Your message has been sent!’ link=’manually,http://’ subject=” autorespond=” captcha=’active’ form_align=” color=”] [av_contact_field label=’Name’ type=’text’ check=’is_empty’ options=” multi_select=” width=”][/av_contact_field] [av_contact_field label=’Cell Phone’ type=’text’ options=” check=’is_number’ width=” multi_select=”][/av_contact_field] [av_contact_field label=’E-Mail’ type=’text’ check=’is_email’ options=” multi_select=” width=”][/av_contact_field] [av_contact_field label=’Service Attended’ type=’select’ options=’7am, 9am, 11am’ check=” width=” multi_select=”][/av_contact_field] [av_contact_field label=’Age Group’ type=’select’ options=’0-19, 20s, 30s, 40s, 50s, 60s, 70s, 80s+’ check=” width=” multi_select=”][/av_contact_field] [av_contact_field label=’I am a’ type=’select’ options=’Visitor to BMC, Regular Worshipper, BMC Member’ check=” width=” multi_select=”][/av_contact_field] [av_contact_field label=’I’d like’ type=’select’ options=’Prayer or Care, Follow Up, To Commit my life to Christ, To Volunteer or Serve, To update my personal details, Other’ check=” width=”][/av_contact_field] [av_contact_field label=’Are you interested in’ type=’select’ options=’Courses, New Membership, Small Groups & Classes, Wedding, Baptism, Care or Counselling, Hospital or Home Visit, Children’s Church, Youth or Young Adults, Senior’s Ministry, Worship Team, Justice & Service or Missions, BMC Organisations, Other’ check=” width=” multi_select=”][/av_contact_field] [av_contact_field label=’Anything we need to know?’ type=’textarea’ options=” check=’is_empty’ width=” multi_select=”][/av_contact_field] [/av_contact] [/av_three_fourth][av_one_fourth min_height=” vertical_alignment=” space=” custom_margin=” margin=’0px’ padding=’0px’ border=” border_color=” radius=’0px’ background_color=” src=” background_position=’top left’ background_repeat=’no-repeat’] [av_sidebar widget_area=’Sidebar’] [/av_one_fourth][/av_section]