NCFIC Elder Discipleship Registration

Payment Method

  $395.00 / Single Payment
  $99.00 / Quarterly*
  $33.00 / Monthly**

*Please be aware, in order to maintain continued participation in the program with this payment option you will need to log on each quarter to make your quarterly $99 payments. Choosing this option only charges your card once, and does not automatically charge your card quarterly. You are required to manually reenter your payment each quarter.

**Please be aware, in order to maintain continued participation in the program with this payment option you will need to log on each month to make your monthly $33 payments. Choosing this option only charges your card once, and does not automatically charge your card monthly. You are required to manually reenter your payment each month.

Names of Participants


First Name Last Name Age



Contact Information

Please check your e-mail address for accuracy as this will serve as our primary means of contact with you.

Current Registration Cost:
$00.00




Payment Information


Please enter the 3 digit number from the back of your card.