Alpha Basic Registration
 

 

 

 

   

 

     

 

 

 

Our Alpha Course is held on Wednesday evenings from 7:00 - 9:45 p.m.

We will contact you once we receive your email.

Please provide the following  information:
 

Register For:  
Dinner     March 7th
 Alpha     Fall Course                 Spring Course    - Begins March 7th
First Name
Last Name
Address        Town     Zip Code
Day Phone
Evening Phone
E-mail
Age
   
Questions

 
Last Revised: Tuesday, April 08, 2008

 

 
 

 

 

Patchogue Church of the Nazarene (631) 654-3795 Fax: (631) 654-4950