Registration Form for Session Starting Wednesday September 10 2008

(REGISTRATION DEADLINE IS SUNDAY Aug 31)

The registration for this session will end a week prior to the 1st scheduled meeting so that materials can be ordered and delivered prior to the first meeting.

* NOTE for TEENS   who wish to join:   The FP4H materials are written for adults age 18 and up. Please consult your physician for a calorie range that is right for you.

(* = required fields)

* Name:
* Mailing address:
(inc street/PO, city, zip)
Phone Numbers: * (H)   (W)   (cell)
* Email:
(one checked most often)
Childcare Needed?
(if you need childcare, inc
names/ages of children)
Message to leaders
(optional):
* Books Needed?
(Would you like us to
order your materials?) 		Bible Study ($13.59)   (yes/no)
Member Kit ($80.00)   (yes/no)

Do not write below this line
Paid?   (yes/no)    amount pd:    check # or cash:
Books Delivered? Bible Study delivered?   (yes/no)
Member Kit delivered?   (yes/no)

      


* CANCEL WITHOUT SUBMITTING *
* (return to bethanybaptist-wendell.com/1stplace) *