Disciple Bible Institute

Enrollment Form

Name _{________________________________________________}

_{Address _______________________________________________}

                _{_______________________________________________}

_{Phone ____________________ Cell _________________________}

 

_{Email _________________________________________________}

 

_{Church _______________________________________________}

 

_Program

______ I am enrolling in the Certificate Program

______ I am enrolling in individual classes

 

_{Classes for September 14 - November 30, 2010}

_{_______ Church History I (Tuesdays, 7:00- 7:50, pm.}

    _{Taught by Michael Cocoris}

_{_______ Evangelism, Cults, Religions (Tuesday, 8:00-8:50 pm.}

    _{Taught by David Drummond}

_Cost

_{$50  per class                                Total _______}

_{Make checks payable to The Lindley Church -DBI}

 

_{Mail to: Disciples Bible Institute}

_{5901 Lindley Ave}

_{Tarzana, CA 91356}

 

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