*Student Level:	-- please make a selection -- Audit Certificate Credit Alumni First Night Free
*First Name:
*Last Name:
Suffix:
*Email:
*Phone:
Cell Phone:
PrimaryAddress Type:	-- please make a selection -- Home Work College Parents
*Address Line 1:
Address Line 2:
*Province:	-- please make a selection -- British Columbia Alberta Saskatchewan Manitoba Ontario Quebec Nova Scotia New Brunswick Prince Edward Island Newfoundland & Labrador Yukon Territories Northwest Territories Nunavut
*Postal Code:
Home Church Name:
How did you hear about us?:	-- please make a selection -- Friend Local Church College Ministry Email Brochure Poster Web Search Other
What best describes you?:	-- please make a selection -- College Student Professional Stay at home parent Pastor Missionary Other Full-time Ministry Retired Other
Class Registration:	BC - Metro Vancouver Area BC - 3 Weekend Intensive with Online Classroom AB - Calgary AB - Grand Prairie AB - Medicine Hat AB - Calgary Intensive (Winter 2010) SK - Saskatoon (Winter 2010) SK - Regina (Winter 2010) ON - Korean (Winter 2010) ON - Scarborough (Winter 2010) NS - Halifax (Fall 2010) PEI - Charlottetown (Fall 2009)
Registration Fee:	For Ontario English Classes Only - Please send the $30 pre-registration fee to Perspectives Study Program, % OMF Canada, 21-5155 Spectrum Way, Mississauga, ON, L4W5A1