2008 REGISTRATION FORM FOR CBA SEMINAR

                                                                     CERTIFICATION SEMINAR II

                                                                                   SOUTHWESTERN BAPTIST SEMINARY

                                                                                                        JUNE 9 - 19, 2008

 NAME ____________________________________________________________________________________

 (to be used on the certificate)         LAST                                 FIRST                                      MIDDLE

NAME FOR NAME TAG_______________________________________________________________________

NAME OF CHURCH__________________________________________________________________________

CHURCH ADDRESS__________________________________________________________________________

__________________________________________________________________________________________

                             CITY                                                   STATE                                                      ZIP CODE

PHONE (BUSINESS) ___________________________________CELL PHONE____________________________

EMAIL ___________________________________________WEBSITE_________________________________

HOME ADDRESS____________________________________________________________________________

__________________________________________________________________________________________

                            CITY                                                      STATE                                                       ZIP CODE

PHONE (HOME)_____________________________________________________________________________

JOB TITLE_________________________________________________________________________________

         ___FULL TIME POSITION____PART TIME POSITION

HAVE YOU ATTENDED        SEMINAR 1  ___YES __NO           SEMINAR II  ___YES  ___NO

        IF YES, WHICH CERTIFICATION CENTER DID YOU ATTEND?_______________________________________

IF YES, WHICH ONE?_________________________________________________________________________

ARE YOU A MEMBER OF THE NACBA? ___YES ___NO

ARE YOU A MEMBER OF THE SBCBAA ___YES ___NO

___I AM ENCLOSING A CHECK FOR $550.00 FOR THE SEMINAR FEE.    MAKE CHECK PAYABLE TO: CBA SEMINARS

 MAIL TO: CBA SEMINARS PO BOX 6928 FORT WORTH , TX 76115

  For more information, email cbaassociates@sbcglobal.net or call 817-568-8966