(Print this Form)   CCNA SCHOOL of the BIBLE Rev. Daniel Immordino, Director 16 Argonne Place Middletown, NJ 07748 CCNA STUDY CENTER ENROLLMENT APPLICATION Instructions: Please complete this application and mail it to the above address with your full payment for each student's course and book(s). Include postage. [an error occurred while processing this directive] Please submit one enrollment application for EACH COURSE. NOTES: 1. Pastors call for special incentives offered for Study Centers with 10 or more students. 2. Each student must also submit a completed Individual Enrollment Application. (PLEASE PRINT OR TYPE) Church or Study Center Name: __________________________________________________________ Address: __________________________________________________________ City/ST/Zip: __________________________________________________________ Phone: __________________________________________________________ Pastor or Instructor: __________________________________________________________ Course: 710- _______ Name: ________________________________________    STUDENT NAME   STUDENT NAME  1.  __________________________  11.  __________________________  2.  __________________________  12.  __________________________  3.  __________________________  13.  __________________________  4.  __________________________  14.  __________________________  5.  __________________________  15.  __________________________  6.  __________________________  16.  __________________________  7.  __________________________  17.  __________________________  8.  __________________________  18.  __________________________  9.  __________________________  19.  __________________________  10.  __________________________  20.  __________________________ (PLEASE USE SEPARATE SHEET FOR ADDITIONAL NAMES)