Thank you for visiting our website.

Waverly church of Christ
438 West Main Street
Waverly, Tennessee 37185
Pulpit Minister:
Jeff Keele
Office Phone: 931-296-3213

     Please fill out this visitor’s card so we may have a record of your visit and so we may know how we may help you.  Click “Submit Now” to send it to us.  Items #1 and #14 are required to submit the form.  Thank you.
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     If there is anything we can do to help you better understand the Scriptures, please contact us at the Waverly church of Christ.  You may be struggling with questions and issues that we have already studied for God's solutions.  Our library has good reference materials and tools for successful Bible studying.  Many we use regularly and can't loan them out, but you are welcome to use them here at our building.  We don't claim to have all the answers, but we are willing to search the Scriptures with you to find the answers to your questions.
Form instructions:  Use "Tab" key or mouse to move between entry blanks.  When finished, click "Submit" button below.  To clear all entry blanks, click "Reset" button below.  Special note – except for items #11 & #12, using "Enter" key causes early submission of form.

1. Name: 

2. Address:  
3. City:  
4. State/Province:  
5. Zip/Postal Code:  
6. Telephone:  
7. E-Mail:  
8. Where do you usually attend church?  
9. What prompted you to visit our website?  

10. How may we help you?</
     [We also have several videotapes, audiotapes, books, and other study aids that you are welcome to use here at our building.]
Private Counseling?
teen problems
Bible study interests?
course by mail
guided personal study
group / class study

11. What question(s) about the Bible would you like to have answered?


12. What prayer requests or other needs might we be able to help you with?


13. Would you like us to contact you?

about how your counseling / study interests
about the answer(s) to your bible question(s)
about your prayer requests / other indicated needs
by email when new materials are added to our website

14. Please check this box to indicate you are a real person filling out this form.
(This is a security-check to hinder automated softwares.)

Yes, I am a real person.


      Electronic submission form prepared by David G. Churchill; used by permission.  rev.061125-150507-161006
      For additional quality Bible-study materials, contact your local church of Christ or access Exploring God's Word at
      Send us your Bible-related questions.