Christian Life Module Application
Full Name
*
First Name
Last Name
Student Number
*
Date
*
Please select a month
January
February
March
April
May
June
July
August
September
October
November
December
Month
Please select a day
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
Day
Please select a year
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Year
Phone Number
*
Email
*
Choose Module
*
Please Select
CL1110 Your New Life
CL2120 Your Bible
CL3130 Who Jesus Is
CL4140 The Church
CL5150 Personal Evangelism
CL6160 Bible Ethics
CL1210 When You Pray
CL2220 How to Study the Bible
CL3230 Your Helpful Friend
CL4240 Christian Worship
CL5250 Christian Workers
CL 6260 Marriage and the Home
CL1310 God’s Design—Your Choice
CL2320 John’s Gospel
CL3330 We Believe
CL4340 What Churches Do
CL5350 The Teaching Ministry
CL6360 The Christian in His Community
Enter number of copies
By Submitting this form, I agree to fulfill my financial obligations
*
Yes
Submit
Clear Form
Should be Empty: