Premarital Seminar Application

Please fill out the form below and upon submission you will be redirected to pay.
Registration is $50 per person or $100 per couple

1. Name:

2. Current Address:

3. Date of Birth:

4. Country of Citizenship:

5. Telephone:

(Home)

(Work)

6. Martial Status

Single Engaged Married Widow(er) Divorced

7. Are you a born again believer?

Yes No Not Sure

8. Do you attend BFM Fellowship?

Are you a member?

9. If no, what church do you attend?

Are you a member?

10. Are you willing to attend every class of this Seminar?

11. Are you willing to purchase all resource material?

Signature:

Date: