Name                   

Address                

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Zip                       

Home Phone              

Work Phone                Date of Birth           

Cell Phone                  Email                     

Church                        Church Address      

Please enroll me in: (select)

Attend: online on campus

Term: 1 2 3 4

Registration Fee (Additional & Non-refundable) $ 45.00
One Course . . . . . . . . . . . . . .$ 130.00
Two Courses . . . . . . . . . . . . .$ 140.00
Three Courses . . . . . . . . . . . .$ 150.00
Pre-pay ALL 3 Courses and Receive 20% Reduction
Correspondence Course Additional Fee. . . . $ 100.00

Status at WAI               new            returning

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** Textbooks, additional texts & graduation fees are incurred, as required by the student,
in addition to the regular tuition fees **