Register

This form can be submitted either:

on-line and the non-refundable registration fee paid by PayPal or bank transfer
or be printed off and posted with the non-refundable registration fee to:

Building Church Academy
The Edge Centre
Riveredge
Wigan
WN3 5AB

Please register me as a student for the Building Church Dynamics course.

I will be commencing my course at the following intake point:

Date*
September 2018
November 2018
January 2019
March 2019
Personal Details
Name*
First Last
Address*
Street Address Address Line 2 City Post Code

Your Email*

Mobile Phone*
Personal Aims
Briefly explain why you have chosen to join the Building Church Dynamics course and what you expect to gain from it*
Church Details
Home Church*
Pastor/Leader*
First Last
Pastor/Leader’s Email*

Course Fee Payment Details
Please tick your chosen payment method*
I will be paying the full course fee of £450 in a single payment on or before the start date of my course
I will be paying by instalments and understand the fee of £490 must be paid as £250 on or before the start date of my course followed by 6 instalments of £40 paid monthly thereafter
Once you have registered, please visit the payments page where full details of how you can pay your course fee will be found.
Declaration
I declare that I am the person named in this registration for the Building Church Dynamics course.

I agree to pay course fees by the method indicated above.

I have paid the non-returnable registration fee of £20*
By cheque (enclosed)
By Paypal
By direct bank transfer
* (Details of how to pay your Registration Fee are on the payments page)

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Register

Personal Details

Personal Aims

Church Details

Course Fee Payment Details

Declaration

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