Weekend at the Well
Which date works best for you:
Please select one
October 30-31, 2008
March 12-13, 2009
In the future
(Guests 25 and over)
*
First Name:
Mr.
Mrs.
Ms.
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Last Name:
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Address:
Address continued:
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City, State/Prov:
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Zip, Country:
Date of Birth:
Jan
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Area Code + Phone:
-
Contact me:
*
E-mail:
Mailing List?
*
Date of High School graduation:
Are you Married?
Yes:
No:
If yes, Spouse's Name:
Year/Semester Interested in:
Fall 2007
Spring 2008
Fall 2008
Spring 2009
Fall 2009
What questions can we answer for you?
How did you first hear about Elim?
Which campus are you interested in attending?
EBI Lima, NY Campus
EBI Buffalo, NY Campus
Other
Additional Comments:
*
Required Field
†
Please call 1-800-670-ELIM if you have any questions.
Also available:
Personalized Visits
if the dates of Weekend at the Well don't work for you. If you are under 25
Discovery Days
is designed to fit your needs.