Name / Nombre:
Last Name / Apellido
Address / Dirección
City / Cuidad
Zip Code / Código Postal
Telephone / Teléfono
Email Address / Correo Electrónico
Request General Information
How did you hear about 4T Prosperity Program?
Como encontraste saber de la classes de prosperidad 4T?
Is this your first time attending the 4T Prosperity Program?
Esta es tu primera vez participando en el Programa 4T?
Yes
No
If not how many times have you attended 4T Prosperity Program?
Si no es tu primera vez, cuantas veces has asistido el programa de 4T?
Are you interested in receiving information about membership at Unity on the Bay?
Estas interesado en recibir mas informaccion sobre la membresia de Unity on the Bay?
Yes / Si
Is there an area in which you would like to participate in service at Unity on the Bay?
Hay alguna area o ministerio donde te gustaria servir en Unity on the Bay?
Will you be purchasing your material at "The Source - Bookstore"?
Vaz a optener tu materiales en la libreria "The Source"?
Book / Libro
CD / Disco Compacto
or both Book & CD / o Libro y CD
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