Please enter your details below (either all fields or just whatever particular information you need to update) and press the Submit button above when you have finished. When your information has been submitted successfully, it will disappear. If it doesn't disappear please scroll down to correct any errors detected and press Submit again.

Please note that this information is for internal Northcity use only and will not be shared with any other parties. Any information that you would like published in the Member Contacts Directory must be specified by you, and you can only receive a copy of the Directory (published annually) if you are a prayed in member of Northcity AND have agreed for at least some of your details to be included in it.

If you have any questions, please don't hesitate to get in touch. Thanks!

Household Name(required) How would you like to be collectively known (e.g. The Smith Family, Liz & Phil Windsor)?

Number and Street

Suburb

City/Town

Postcode

Country

Home Phone

What information (if any) would you like to be published in our Members Contacts Directory?
AddressHome Phone

Are You currently part of a Connect Group/s?
YesNo

If you answered "Yes", which one/s?

If you answered No would you like to find out more?
YesNo

Do you want to be allocated a Tithe Number?
YesI have one alreadyNot at this time

First Name 1 (required)

Surname 1 (required)

Mobile Phone 1

Email 1

Would you like our fortnightly newsletter sent to this email address?
YesNo

What information (if any) would you like to be published in our Members Contacts Directory?
Name 1Mobile 1Email 1

First Name 2

Surname 2

Mobile Phone 2

Email 2

Would you like our fortnightly newsletter sent to this email address?
YesNo

Birth Date (only required for children and dependent minors)

What information (if any) would you like to be published in our Members Contacts Directory?
Name 2Mobile 2Email 2

First Name 3

Surname 3

Mobile Phone 3

Email 3

Would you like our fortnightly newsletter sent to this email address?
YesNo

Birth Date (only required for children and dependent minors)

What information (if any) would you like to be published in our Members Contacts Directory?
Name 3Mobile 3Email 3

First Name 4

Surname 4

Mobile Phone 4

Email 4

Would you like our fortnightly newsletter sent to this email address?
YesNo

Birth Date (only required for children and dependent minors)

What information (if any) would you like to be published in our Members Contacts Directory?
Name 4Mobile 4Email 4

First Name 5

Surname 5

Mobile Phone 5

Email 5

Would you like our fortnightly newsletter sent to this email address?
YesNo

Birth Date (only required for children and dependent minors)

What information (if any) would you like to be published in our Members Contacts Directory?
Name 5Mobile 5Email 5

First Name 6

Surname 6

Mobile Phone 6

Email 6 6

Would you like our fortnightly newsletter sent to this email address?
YesNo

Birth Date (only required for children and dependent minors)

Publish in Members Contacts Directory?
Name 6Mobile 6Email 6

First Name 7

Surname 7

Mobile Phone 7

Email 7

Would you like our fortnightly newsletter sent to this email address?
YesNo

Birth Date (only required for children and dependent minors)

What information (if any) would you like to be published in our Members Contacts Directory?
Name 7Mobile 7Email 7