To enroll, please complete this form and email, fax, or mail to Therapon University.
 

Name
Address
City, State, Zip
Home Phone
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Required Email

 

If you are enrolling in one of our degree programs, choose the degree and major here. Choose Degree N/AAssociateBachelorMasterDoctorate   Choose Major N/ABiblical TheologyBiblical CounselingRestorative Justice (Please use the drop-down menus to choose the degree and major.)

The total tuition for this program is:.

At this time, I am paying:.

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You may use our secure server with 2CheckOut.com to make a payment by credit card.  We accept MasterCard, Visa, American Express, and Discover credit cards.  To do this, please click on the credit card row below.

Sending this enrollment form by email, and paying online by credit card for your tuition payment, will expedite receiving your course material.  However, you may print this enrollment form, and mail it to Therapon University with your check or money order.  Or, you may fax the application to (340) 777-4312.