NHSS Application - Married Couples

New Horizons School of Supernatural Application

For Married Couples
What school year are you registering for? *
What class are you registering for?
Name of Husband *

First Name Last Name
Name of Wife *

First Name Last Name
Husband's E-mail *
example@example.com
Wife's E-mail *
example@example.com
Birthdate of Husband *

- Month - Day Year
Birthdate of Wife *

- Month - Day Year
Age of Husband
Age of Wife

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Husband's Mobile Phone *
Does the Husband text on his mobile phone? *
Wife's Mobile Phone *
Does the Wife text on her mobile phone? *
Name of Home Church *
Name of Pastor *
Please share what ministries you serve in presently. (Leave blank if none)
Please share why you want to attend NHSS *
PAYMENT OPTIONS

OPTION 1

TUITION FOR "HUSBAND & WIFE" WITH 10% DISCOUNT

This option is $750 for tuition with a 10% discount ($75) for paying the tuition in full. This includes all books for required reading.

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OPTION 2

TUITION FOR "HUSBAND & WIFE" WITH MONTHLY PAYMENTS

This option is $750 for tuition and requires an initial payment of $120, with the balance of $630 to be paid over the following 7 months at $90 per month. This includes all the books for required reading.

Choose one payment type below. *

Pay in Full (Option 1) $ 675.00

Pay in Installments (Option 2) $ 120.00

Enter coupon

Total $ 0.00

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Date	Postal Code

Should be Empty: