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Contact Form.jpg

Click the form image above to be redirected to a download page.  


Right-click the form image above and select the appropriate saving option to download the form directly to your computer.

Please help us update our Belfield-Daglum-Medora Parish contact information!

We're asking for your help in developing an up to date record of people served by our Parish community. Please take a few minutes to download, fill out and return the form (at left) by December 15, 2018.  

Forms can be hand delivered to the Belfield Lutheran Church office, or by mail to:

Belfield Lutheran Church

P.O. Box 416

Belfield, ND 58622

Please make additional copies, or use the back of the form, if enough lines have not been provided to represent the number of individuals in your household. 

You can also use this form to indicate your desire to receive our Parish newsletter, The Parish Visitor, by regular mail or electronically.

Thank you for your time and support in this effort!


Pastor Roger

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