BPL Request - AIM Church

Please fill out the form below to receive a copy of AIM’s BPL binder to start discipleship.

Mentor / Leader's Information
Mentor's Name*
First Last
Mentor's Email*
Mentor's Phone #*
Mentor's Home State*
Disciple's Information
Disciple's Name*
First Last
Disciple's Email*
Disciple's Phone #*
Disciple's Home State*
Disciple's Address (Only needed if binder is being mailed to disciple)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Other Information
Estimated Start Date*
MM slash DD slash YYYY
Please Check All That Apply
- My Disciple Would Use Perforated Memory Scripture Cards
- Add My Disciple to the Weekly E-mailed Devotional for BPL.
BPL Binder Delivery Method*