Peace River Bible Institute - Coffee and Presentations Form

* First name:

* Last name:

* Phone number: ( ) -

* Email address:

* What is your address?

* What church do you attend?

What year(s) did you attend PRBI?

* Are you interested in receiving a gift card to take someone out and talk about PRBI?

* Who are you planning to take out for coffee?

* Do you prefer a Starbucks or a Tim Hortons gift card?

* Would you be interested in giving a PRBI presentation at your church or youth group?

* Would you like to be added to our mailing and/or email list?