MSI
Mystical Sciences
Institute
(847)
866-0505
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Mystic Dream
Contact us!
info@msi-healing.com
Mystic Dream
Class
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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April 17 & 24 Saturday's |
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Time
of Class:
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1:00pm - 5:00pm | ||
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Location:
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2144 Ashland Ave. Suite #7 Evanston IL. 60201 |
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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 $240.00. A non-refundable $100 deposit is required
to reserve your program seat.
Program fee due by or at the first class of April 17, 2004.
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 notice following the receipt of your registration.
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Office
use only
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| Date Data entry complete | Date confirmation call | date
Filed/assigned books & material |