Divorce Recovery

Mail In Registration Form
 
 

Complete  the registration form on line then print and mail it in with your check (payable to Cornerstone Church) or credit card info or fax it with your credit card info.

The church can not process debit cards at this time.
                                      Mail to:    Cornerstone Church
                                                       Attn: Adult Ministries
                                                               Rev. Gerry Lawrence
                                                       239 N. Loop 1604 West
                                                       San Antonio, TX  78232
 

If you can't print this form, call us and we can mail or fax you a registration form.

 

If you have questions, call CJ Gonzales at 477-1550 ext 2

Contact Information
First Name      Home Phone  
   Last Name    Work Phone    
Address      Cell Phone    
City         
  State   

 

   
 Zip       
 Email     
Marital Status     
Your Age      
  Occupation     
What church do you attend?  
How long have you attended ?    Years  
   Do you attend a Cell Group ?   Yes   No     
Cell Leader's Name   

 

If you were to die today, do you know for sure where you would go? 

 Yes  No  Not sure

______________________________________________________________________________

 

 If you went to heaven and God asked, "Why should I let you into heaven?"

What would you answer?

Childcare Registration

For children age 8 weeks thru age 12

1st Child's  Name   

   Age

2nd Child's  Name   

   Age

3rd Child's  Name   

   Age

4th Child's  Name   

   Age

Registration Fee

Mark the appropriate circle
     Cornerstone Members       $20   (have attended Discover the Difference)

                                           Non-Members       $25 

Credit Card Information  (no debit or cash cards)  
 If not paying by credit card, stop here and print the form and mail it with your check
 Credit Card Type  
Name on Card    
Card Number  
Expiration Date     Mo-Yr (Example 07-2005)
   Card Holder Address  
               (City, State, Zip)

 If paying by credit card and do not want to fax this, print the completed form and mail it to address at top of page.