Sacred Kauai
Sanctuary 2006
Registration
Form
Please print this
form, fill it out and send with your check or money order to:
Mystical Sciences Institute
P.O. Box 1146, Evanston, IL 60204
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Date
of Class:
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February 20 thru 24 Monday Thru Friday 2006 | ||
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Time
of Class:
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See Schedule | ||
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Location:
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Kauai , Hawaii (Kappaa - Central Kauai) |
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Name
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Address
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City,
State & Zip
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Telephone
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Email
address
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Correct
name for certificate
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Total
Amount Submitted
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$
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Check
or
Money Order # |
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The
Fee is $450.00 per person.A non-refundable deposit of $100.00 is
required to
hold your
seat. All students must be registered and paid in full by January 15,
2006.
There is a limited amount of seating and classes fill up quickly so
please mail this
form in with your deposit. You will receive a confirmation call following
the receipt
of your registration. Visa/MC/American Express accepted.
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Office
use only
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| Date Rec'd | initials
of staff member recording info |
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| Date Data entry complete | Date confirmation call | date
Filed/assigned books & material |