Registration

HomeRegistration

Password

Password confirmation

First name

Last name

Are you an Alumnus? Yes No

Middle initial

Name when attending CBC
(If different than above)

Phone

Alternate phone

2nd Year Location (City/State/Country)

2nd Year Graduation Date

3rd Year School Name (ex. Ministry, Business etc.)

3rd Year Location (City/State/Country)

3rd Year Graduation Date

Would you like your name to appear on the Legacy Wall? Yes No

If you want your name on the Legacy Wall, please give us your name as you want it to appear

Physical Address

Address 1

Address 2

City

State / Province

ZIP / Postal code

Country

Mailing Address

Use physical address?

Address 1

Address 2

City

State / Province

ZIP / Postal code

Country

In addition to registering for the free alumni member benefits outlined above, I give my permission to Andrew Wommack Ministries or Charis Bible College to keep me informed with personalised news, offers, products and invitations to events relating to my status as alumni. If at any time I wish to rescind this permission, I will click Unsubscribe to the email and I will immediately be removed from the mailing list:

I Agree

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