EmailMe Form - St. James Community Institute for Biblical Studies

Unique ID

Date *

MM / DD / YYYY

GENERAL INFORMATION

August 27 - October 1
*Class Time - Mondays, 6:00-7:15pm and 7:15-8:30pm
*Textbooks are available from the Santiago Bookstore or Sis. Wilma Stevens
*Course details are available at stjamescmbc.org/biblical-studies

REGISTRANT

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 #1

Course Title *

Course # *

Instructor *

Classroom *

COURSE #2

(as applicable)

Course Title

Course #

Instructor

Classroom

TUITION - $20 for one class OR $35 for two classes

All Online Registration payments are made through Paypal

Tuition Cost *

$ Dollars . Cents