Baptist State Convention of NC

Name * First Last
Email *
Name of Your Church *
Church's Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Your Position in Your Church
Staff Elder Deacon Sunday School Teacher Member Other
Are you experienced in international student ministry?
Yes
How many copies of the "21st Century Moses Training Material" booklets do you want to order?

Please specify the number of booklets. If you do not want to order, please leave this blank.
Check if the shipping address is different from church address above.
Shipping Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
If you want to set up an appointment with the consultant for training or consulting, for your church or a group, what day would work best? MM / DD / YYYY
If you do not want an appointment, please leave this blank.
What time on this day? HH : MM : SS AM/PM
Do Not Fill This Out