NHBC Fireproof Your Marriage Registration Form

Fireproof Your Marriage

Registration Form

6 Week Marriage Ministry series: “Fireproof Your Marriage”

~Movie Kick Off: Friday, February 12, 2010 @ 7p.m.~

~6 Week Series: Friday’s February 19-March 26, 2010~

7:00p.m.-9:00p.m.

http://nhbc-marriageministry.blogspot.com/

Name:________________________________________________________

Spouse:_______________________________________________________ (Significant Other)

Number of Years Married:_______ or

____Dating ____Engaged ____ Single

Member of NHBC: ___ Yes ____No

Address:_______________________________________________________

_______________________________________________________________

Phone:__________________________________ home/cell/work

Phone:___________________________________home/cell/work

Email Address: _______________________________________________

Email Address: _______________________________________________

Registration Fee: $20- Couples; $10- Individual

Make checks payble to: New Hope Baptist Church

Registration deadline is January 31, 2010

Completed forms and registration fees may be given to Tonya Logan or Pat Gayle.

You may mail it to New Hope Baptist Church~1317 Gust Lane, Chesapeake, VA 23323 ~ ATTN: FIREPROOF YOUR MARRIAGE Registration

Please contact us for more information: 757-487-4134 or newhopebc@ymail.com

This form can also be found HERE for printing.