Word of Truth Bible Institute

Germantown, Ohio

 

   You can download a printable copy of this form by clicking here.  Thank you.  

 

 

REGISTRATION FORM

 

 

   Personal Information (please print)

Last Name

First Name

Middle Initial

 

 

 

Street Address

 

City

State

Zip

 

 

 

Phone Number

Social Security Number

(                    )

                                  –                        –

What church do you attend?

 

 

 

 

   Course Information (please print)

Course Title

Instructor

 

 

 

 

   Office Use Only

Applicant received pre-course book

Paid in full

Paid by

                    o  Yes                       o   No

  o  Yes              o   No

 

Notes