Ever Increasing Word Training Center || Darrow Campus Registration

1st Yr. - Darrow Campus Registration (2010-11)

	Please fill in all information. This application will not be accepted without full payment of fees.

	PERSONAL INFORMATION
* Title
* First Name
* Last Name
* Address
* City
* State
* Zip Code
* Country
* Hm Phone
* Cell Phone
* Email
* Re-Type Email
* Age
* Date of Birth
* Gender
* Marital Status
* Education (highlight one)

	MINISTERIAL INFORMATION
* Any Previous Religous Training?
If so, Where?
* Are you currently a member of a church?
Church Name (if applicable)
How long have you been attending?
Church City & St
Pastor's Name
* Are you currently serving in Ministry? (including any Helps Positions)
If Yes, Please describe...
* How did you hear about our school?
If you were referred by an EIWTC student, please give the name of the student that referred you.

	Class MP3's
* I understand that MP3 recordings for the classes that I may download are for the benefit of my personal study ONLY!
* I understand that EIWTC mp3s can't be reproduced or distributed in any way without the expressed written permission of EIWTC.
* I understand that the administration of EIWTC reserves the right to not release mp3s of any EIWTC classes it deems necessary.

	FINANCIAL INFORMATION

	In order to apply for the school, a $25 application fee must accompany this online application. You may also, in addition, pay the $115 registration fee or the remaining balance of $625 at this time.
* Please select one payment option.

	PLEASE NOTE: E.I.W.T.C.'s payment policy states that once a student begins school classes & for some reason cannot complete the school year, all monies already paid will not be refunded to them.
* I understand and agree to E.I.W.T.C.'s payment policy stated above.
	Billing Address
* Country
* Address
* City
* State
* Zip Code

	Payment Method
	Total Price: $0.00
* Credit Card Type
* Name on Credit Card
* Credit Card Number
* Expiration Date
* CCV Code	click here for help
To aid in the prevention of fraudulent credit card use, we require the 3 or 4 digit verification code on the back of your credit card. For Visa, MasterCard and Discover Cards: Turn the card over and look at the signature box. You will find either the entire 16-digit credit card number or just the last 4 digits, followed by the 3-digit CCV. For American Express Cards: The CCV is always located above the account number on the face of the card, sometimes on the left side and sometimes on the right. Note: Some American Express cards have a 4-digit number below the account number. This is not the CCV.
	* You must have JavaScript enabled to use this form *

2nd Yr. - Darrow Campus Registration (2010-11)

	Please fill in all information. This application will not be accepted without full payment of fees. In order to apply for the 2nd Year Program, you must first complete the first year program.

	PERSONAL INFORMATION
* Title
* First Name
* Last Name
* Address
* City
* State
* Zip Code
* Country
* Hm Phone
* Cell Phone
* Email
* Re-Type Email
* Age
* Date of Birth
* Gender
* Marital Status
* Education (highlight one)

	MINISTERIAL INFORMATION
* Any Previous Religous Training?
If so, Where?
* Are you currently a member of a church?
Church Name (if applicable)
How long have you been attending?
Church City & St
Pastor's Name
* Are you currently serving in Ministry? (including any Helps Positions)
If Yes, Please describe...
* How did you hear about our school?
If you were referred by an EIWTC student, please give the name of the student that referred you.

	Class MP3's
* I understand that MP3 recordings for the classes that I may download are for the benefit of my personal study ONLY!
* I understand that EIWTC mp3s can't be reproduced or distributed in any way without the expressed written permission of EIWTC.
* I understand that the administration of EIWTC reserves the right to not release mp3s of any EIWTC classes it deems necessary.

	FINANCIAL INFORMATION

	In order to apply for the school, a $25 application fee must accompany this online application. You may also, in addition, pay the $115 registration fee or the remaining balance of $625 at this time.
* Please select one payment option.

	PLEASE NOTE: E.I.W.T.C.'s payment policy states that once a student begins school classes & for some reason cannot complete the school year, all monies already paid will not be refunded to them.
* I understand and agree to E.I.W.T.C.'s payment policy stated above.
	Billing Address
* Country
* Address
* City
* State
* Zip Code

	Payment Method
	Total Price: $0.00
* Credit Card Type
* Name on Credit Card
* Credit Card Number
* Expiration Date
* CCV Code	click here for help
To aid in the prevention of fraudulent credit card use, we require the 3 or 4 digit verification code on the back of your credit card. For Visa, MasterCard and Discover Cards: Turn the card over and look at the signature box. You will find either the entire 16-digit credit card number or just the last 4 digits, followed by the 3-digit CCV. For American Express Cards: The CCV is always located above the account number on the face of the card, sometimes on the left side and sometimes on the right. Note: Some American Express cards have a 4-digit number below the account number. This is not the CCV.
	* You must have JavaScript enabled to use this form *

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1st Yr. - Darrow Campus Registration (2010-11)

2nd Yr. - Darrow Campus Registration (2010-11)