Push Pay – Care Cards Push Pay - Member Care Card Date* MM slash DD slash YYYY Number of People* 1 2 3 4 5 6 Service Attended*Saturday 5:00Sunday 8:00Sunday 10:30All-Church ServiceOtherName 1 First Last Received Communion* No Yes Name 2* First Last If left blank, last name is assumed to be the same as above.Received Communion* No Yes Name 3 First Last If left blank, last name is assumed to be the same as above.Received Communion* No Yes Name 4 First Last If left blank, last name is assumed to be the same as above.Received Communion* No Yes Name 5 First Last If left blank, last name is assumed to be the same as above.Received Communion* No Yes Name 6 First Last If left blank, last name is assumed to be the same as above.Received Communion* No Yes Δ
