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Grace Fellowship International Counseling Institute
Course Enrollment Form
Full Name (please print) ______________________________________________
Mailing Address ____________________________________________________
______________________________________________________
City __________________________ State ________ Zip _____________
Shipping address (if different)__________________________________________
______________________________________________________
City __________________________ State ________ Zip _____________
Daytime Telephone (________) __________________________________
Evening Telephone (________) __________________________________
E-mail Address _______________________________________________
Previous GFICI course completed ________________________________
Course requested : ______________________
Fees and tuition per course
Tuition per GFI Course: $50.00
Student Guide per GFI Course: $10.00
Other required materials per course : $ ____
(Purchased through GFI or elsewhere)
Postage and handling per course $10.00
(Canada $15.00, International $20.00)
(U.S. orders should arrive within 2 weeks.)
Total enclosed $ ________
(Checks payable to Grace Fellowship International, U.S. funds)
Student's Signature ____________________________________
Date ______________________________
Please mail or fax to
Grace Fellowship International Counseling Institute
P.O. Box 368
Pigeon Forge, TN. 37868 USA
Call toll free to confirm materials order and total fees:
1-888-66GRACE
Fax 1-865-429-0144
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