| Memphis School of Servant Leadership Registration Form - due one week before class starts. (print out page, complete and return): 1. Name _______________________________ 2. Address _______________________________ 3. City _____________ State ____ Zip_________ 4. Home Phone #____________________ Cell #____________________________ 5. E-mail Address ______________________________ 6. Congregation Affiliation_________________________ 7. Other Servant Leadership Classes you’ve taken: 8. The class you would like to attend is: Name ___________________________________ Date/Time________________________________ 9. A second choice is: Name ___________________________________ Date/Time________________________________ 10. Tuition Enclosed $ __________________ Tuition Information: The cost of a class is $100. We know that it will not be possible for everyone in our community to give the full amount. We know that others will be able to give more. Please give what you can so that others can become the community of servant leaders the world needs. Mail Completed Registration to: Memphis School of Servant Leadership 258 N. Merton St. Memphis, TN 38112 Questions? Call us at 901-320-7005. |