Application

Application

Print out page and mail application to:

Grace Bible Training Center

P.O. Box 1061

Alton, IL 62002

(Please print clearly all information)

Name:

Address:

City, State, Zip:

Phone:

Email:

CHURCH AFFLIATION:

Church Member____ (Name of Church) _____________________________________

House Church_____ / weekly___ / monthly___

Bible Study Group_____ / weekly___ / monthly___

Type of Student

Classroom Student ____

Video School Student ___

Number of courses each semester ___(1) ___(2) - 1st semester Oct. - Jan., 2nd semester Feb. - May

1 Course - $40.00/month

2 Courses - $60.00/month

(All classroom students will also have access to video school)

Method of Tuition Payment

(Tuition can be paid either monthly or at the beginning of each semester.)

Credit Card     ___

Debit Card      ___

Check              ___

If using credit or debit card you can go to the Tuition Page and make your payment through the secure PayPal site.

(Signature) (Date)