Registration form for the Kingdom Connection Institute for Life Empowerment
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Kingdom Connection Life Empowerment Institute Form

 
 
 
Register today for the Fall Semester Course:  "Basic life Empowerment Classes"
 
Fall classes Starts – September 20th – December 15th 2010
 
Two (2)  Individual 12-Week Sessions offering convenient Day or Evening Time Slots.
 
Registration Fee for the Fall Semester Course at $20.00 per person and Payment of the Fall Semester Course at $250.00 per person.
 
 
 
 
 
 
Please complete this form to register for the classes.
 
Select Day or Evening Session
Registration Fee
Select Your Session
Your First Name
Your Last Name
Address Line 1
Address Line 2
Your City
State
Zipcode
Your Phone Number
Your Occupation / Profession
Your Email
Are you attending Bible
Training Classes for the first time
Security Check
Type the characters you see below
Letters are NOT case sensitive.
 
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