Personal Info
| Church/Organization | |
| Preferred First Name | |
| Suffix | Jr |
| Street Address | 310 Parks Dr |
| City | Normandy |
| Postal/Zip Code | 37360 |
| Mobile Phone | |
| Home Phone | |
| Office Phone |
General Membership Info
| Membership Credential | |
| Mailing List | Yes |
| Marital Status | Married |
| Length of Marriage | 21 years ago |