Application Form RCS 5777 - 2016/17 Entire series including Textbook- $69 Individual Classes- Please charge me $12 for each of the classes I will be attending: Lesson 1: Claim Your Inheritance Thursday, December 1 at 7 p.m. Lesson 2: Where Pleasure Meets Purpose Wednesday, January 4 at 7 p.m. Lesson 3: Creation Revisited Monday, January 30 at 7 p.m. Lesson 4: The Beauty of the Struggle Wednesday, March 1 at 7 p.m. Lesson 5: Overcoming Limitation Tuesday, March 28 at 7 p.m. Lesson 6: To Love Another Thursday, April 27 at 7 p.m.. Lesson 7: Joy Revealed Sunday, May 25 at 7 p.m. I would like to order a textbook for $20. Title* Chaplain Dr. Dr. & Mrs. Drs. Mr. Mrs. Ms. Mr. & Mrs. Mr. & Dr. Rabbi Rabbi & Mrs. The Honorable First Name* Last Name* Address Line 1* Address Line 2 City* State Post Code* Phone Card Type* Visa Master Card Amex Card Number* Expiration Date* 01 02 03 04 05 06 07 08 09 10 11 12 2016 2017 2018 2019 2020 2021 2022 Acknowledgement Email Address* Reconfirm Email Address* Thank you! Looking forward to greeting you! This page uses 128 bit SSL encryption to keep your data secure.