Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
E-mail

At BLI I would like to register: (check what applies)

Resident Student
Online Student
Fall Semester (09)
Commuter Student
Summer School Classes
Spring Semester (10)

Education and Vocational Goals:

Today's Date:

 

Classes in which I am interested:

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You can either submit this for online or you can print this page and send it into BLI.

 

Biblical Life Institute

 927 Freeport Road

Freeport, PA 16229

 

Checks are payable to Biblical Life Institute and should be sent with application.  Or, you will be billed after application is received.  All bills must be paid in full before any class work may begin.

 

Each student is responsible to purchase class texts that professors recommend.