Priority will be given to small membership churches and churches that have not yet used Disciple I., other churches will be
considered on a first come, first serve basis. Previews of material
may be arranged, as available, throughout the year. Be sure your
church is REGISTERED WITH THE NC CONFERENCE Media Center.

Disciple Bible Study Resource Program

Church Name: _______________________________________________________________________

Pastor’s Name: _______________________________________________________________________

Contact’s Name if other than Pastor: ___________________________________________

Address: ______________________________________________________________________________

Phone number: ____________________________    E-mail: _________________________________

Membership total: _________________________

Has your church participated in a DBS before? ____________

Has your church joined the Media Center for the current year? _____________

List which Disciple Bible Study would you like to borrow?  See list on back.

          ________________________________________________________________________

          ________________________________________________________________________

          ________________________________________________________________________

What Date would you like to start the Study?  _______________________

When will you be finished?  _____________________

Is this request for a preview (3 weeks) only?  _______________

What dates would you like for a preview?  _________________________________________

Fill out this form and mail to:

Laura Bailey                                                     If you make my word your home

NC Conference Media Center                          you will indeed by my disciples.

1307 Glenwood Ave.                                                                    -John 8:31

Raleigh, NC  27605                                                      The New Jerusalem Bible