Contact Information Update

Type of Move
Individual
Family TIP: Select "Family" if everyone in your household has the same last name and everyone is moving to the same new address.

Your Information
First Name:
Last Name:

Old Address / Contact Information
Email:
Phone:
Address: (include apt or suite #)
City:
State:
ZIP:

New Address / Contact Information
Email:
Phone:
Address: (include apt or suite #)
City:
State:
ZIP:

Comments:

Please review your information to ensure its accuracy before you submit this form.

You will receive an email confirmation of your Change of Address

Note: We respect your privacy and will not share your
email address with any unauthorized third parties.

Security Code

 Captcha ImageReload Image
   
 

 
Victory Community Church
1619 Manitou Road
Rochester, NY 14626
Phone: (585) 352-5334 • Fax: (585) 352-7758
Website design by Innovated Media