ADULT LEARNING PROGRAM REGISTRATION FORM

Class: Understanding India
Leader: Rev. Abhi Janamanchi
Dates: Thursday 1/8, 1/15, 1/22, 1/29
Time: 7-9 PM
Fee: $20 - Pay at the 1st class

Select one:
I want to Register for the class listed above
I want to Cancel a previous registration for the class listed above

Your Name (required):

Street Address (required):

City, State, ZIP (required):

Phone (required):

Your E-mail (required):

Click on the Send button. After the form is successfully
sent, you will be switched to the Home Page!

The completed form will be emailed to the office.