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Registration Form
Please Print Registration Form: Copy and print this form.
Name:__________________________________________________________________________________
Address:________________________________________________________________________________
City:___________________________________________________________________________________
State & Zip:_____________________________________________________________________________
Home Phone:____________________________________________________________________________
E-mail:_________________________________________________________________________________
Church Name:___________________________________________________________________________
Address:_______________________________________________________________________________
City, State & Zip:________________________________________________________________________
Church Phone:___________________________________________________________________________
Prerequisites
1. Please send current photo of yourself with this Preregistration Form for your Student File.
2. Complete the Student Application and return with this form.
3. Have you already completed “Ministering Spiritual Gifts”?
When & where?______________________________________________________________________
_______________________________________________________________________________________________
4. Have you already completed "School of the Prophets"?______________________________________
When and Where:____________________________________________________________________
5. Your Senior Pastor’s signature is required here to enroll.
(Pastoral Reference will also be sent to Sr. Pastor)
____________________________________________________________________________________
6. Print Pastor’s name here:
____________________________________________________________________________________
Registering For:
Advanced School of Prophets - Discount Coupon Code:___________
Advanced School of Prophets - $245.00:________
Total Due - $________
(Must have all prerequisites complete to avoid being denied enrollment)
Paying by credit card:
Please Circle: Discover / Visa / Master Card
Discover/Visa/Mastercard #_______________________________________
Exp. Date ____/____ V-code______ Amount charged______________
Name on card: _________________________________________________
Signature:_____________________________________________________
Call-in registration by credit card payment: 740-725-0300, 740-389-2910 ext. 24, FAX 740-386-2205
Email registration with credit card payment: Eagle Christian College
Paying by check:
Make checks payable to Eagle Christian College.
There is a $30.00 Service Charge on all returned checks.
Please copy, print and mail this form along with your registration fee to:
Eagle Christian College
1550 Richland Rd. Marion, OH 43302
Office use only:
Date________________ Clerk initials____________ Dollar Amount_____________ Payment method_____________
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