EmailMe Form - SJCBS 2017 Fall Session Registration

Unique ID

Date *

MM / DD / YYYY

Mondays, October 2 - November 20
6:00pm – 7:00pm & 7:10pm – 8:10pm

*Course details are available at stjamescmbc.org/biblical-studies

Name *

First Last

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Phone *

### - ### - ####

Email *

Name of Church Membership *

Pastor's Name *

Course Title *

Course Number *

Instructor *

Course Title

Course Number

Instructor

Tuition Cost *

$ Dollars . Cents

Method of payment *

For online payment by PayPal, go to stjamescmbc.org/biblical-studies

Date

MM / DD / YYYY

Method of Payment

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$ Dollars . Cents

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