|
|
|
| Name: |
|
Date: |
| ____________________________________________________ |
|
___________________________________ |
| Address: |
|
Home Tel: |
| _______________________________________ |
|
___________________________________ |
| City/State/Zip: |
|
Work Tel: |
| _______________________________________ |
|
___________________________________ |
| Home Church: |
|
Cell Tel: |
| _______________________________________ |
|
___________________________________ |
| Home Church Address: |
|
Date of Birth: |
| _______________________________________ |
|
___________________________________ |
| Driver's License or I.D. #: |
|
Soc. Security#: |
| _______________________________________ |
|
___________________________________ |
TUITION FEES: PER SINGLE TERM |
|
|
|
| 1 Course - $90.00 |
2 Courses - $95.00 |
3 Courses - $100.00 |
|
__________________________ |
__________________________ |
__________________________ |
$______________,____ |
| Course name |
Course name |
Course name |
|
| |
|
|
|
| |
Correspondence program @ $80.00 |
$______________,____ |
| |
Registration Fee for One Term |
$___________30,00 |
| |
|
|
|
| |
|
TOTAL AMOUNT |
$______________,____ |
| Books and school supplies are available at the beginning of each term, from our bookstore located on campus. |
|
|
Please include your check or money order, (Payable to I.B.U.) with this completed form and send to: INTERNATIONAL BIBLE UNIVERSITY, 6610 South Peoria, Tulsa, Ok. 74136
|
|
