Application for annual book mailings

Personal Details

* First name:

* Family name:

Date of birth:

Address to send books:

Town:

County / area:

Postcode / area code:

Country:

* Email:

Mobile/Cell phone:

How would you prefer to communicate with us?

Post

Referee

Name of a person who will give a reference (your overseer / bishop, another senior leader, community leader, college principal or director or other suitable person)

* First name:

* Family Name:

* Organis'n:

* Position:

* Email (if possible) OR Address:

More About You

Tell us about your family and those who depend on you :

Tell us about your community (town, large village, city, any other churches there, etc :

Do you have a job as well as leading a church :

Tell us about your education, what you have achieved (your education does not affect whether we send you books) :

What books interest you

Subject	Level of interest
Leadership	Very interested Not very interested Not interested at all
Practical Church Life	Very interested Not very interested Not interested at all
Youth and Children's Ministry	Very interested Not very interested Not interested at all
Christian Doctrine	Very interested Not very interested Not interested at all
The Holy Spirit (gifts, healing, deliverance etc)	Very interested Not very interested Not interested at all
Spiritual Warfare	Very interested Not very interested Not interested at all
Evangelism	Very interested Not very interested Not interested at all
Discipleship	Very interested Not very interested Not interested at all
Preaching / Bible Exposition	Very interested Not very interested Not interested at all

Any other subjects not listed above :

Sending the form

Thank you for completing our application form. When you click "Send" a copy will be sent to you as well as to our office and we will contact you soon.

Human? Please type the answer to the sum before clicking "Send".

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