Student Subsidy Deposit – AMEN

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Student Subsidy DepositWayne.Atwood2018-09-06T18:50:39-04:00

Student Subsidy Application Payment

First Name *

Last Name *

Email *

Phone *

Deposit

Your deposit will be refunded if you attend the conference.

Deposit option *

I will mail in a check for the $100 deposit

Credit Card Deposit

Mail check to
AMEN
PO Box 398
Weed, CA 96094-0398

If you are human, leave this field blank.

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Adventist Medical Evangelism Network is an independent ministry that supports the mission of the Seventh-day Adventist® Church; however, it is not part of, affiliated with, or endorsed by the General Conference of Seventh-day Adventists® headquartered in Silver Spring, Maryland or any of its affiliates known as the Seventh-day Adventist® Church. Thus, any contents or opinions expressed, implied or included in or with the services offered by Adventist Medical Evangelism Network are solely those of Adventist Medical Evangelism Network and not those of the General Conference or the Seventh-day Adventist® Church.