SDIM Student Registration
Please complete this form to register for a course.
Student Name
*
First Name
Last Name
Student Email
*
example@example.com
Student Phone
*
Please enter a valid phone number.
Student Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student's Church
*
Please list the number of the course for which you are registering.
*
Please list the title of the course for which you are registering.
*
Please list the location where the course is being taught, if known.
Please select the ministry track you are following:
*
Elder
Deacon
Audit
Payment Options:
1. Please mail a check to SDIM Director Leon Skinner: 130 Soaring Hawk Ln., Sacramento, CA 95833
2. Pay online here
Course Fees
prev
next
( X )
Tuition & Registration per course
$
225.00
Quantity
1
2
3
4
5
6
7
8
9
10
Audit & Registration per course
$
125.00
Quantity
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Submit
Should be Empty: