MSI
Mystical Sciences
Institute
(847)
866-0505
Contact us!
info@msi-healing.com
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The Sacred Journey
The Sacred Journey
Death and Dying Lecture
Registration
Form
Please print this
form, fill it out and send with your check or money order to the
Mystical Sciences Institute
P.O. Box 1146, Evanston, IL 60204
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The
program fee is $390.
This includes classes, books, meditation tape and related materials. |
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Date
of Class:
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April 23, May 21, June 11, July 23 2002 | ||
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Time
of Class:
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7:30pm - 9:30pm | ||
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Location:
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Mystical Sciences Institute Healing Center, 2144 Ashland Ave., #6, 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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Total
Amount Submitted
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Check
or
Money Order # |
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| Credit Cards
are accepted - Please contact us at the Center (847)866-0505 and
we will be happy to assist you. All deposits are non-refundable and are required to reserve your program seat There is a limited amount of seating and classes fill up quickly so please mail in your enclosed form with your deposit. You will receive a confirmation call or notice following receipt of your registration. |
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Office
use only
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| Date Rec'd | initials
of staff member recording info |
date Data Entry completed |
| Date confirmation call | Deposit $100 | or program fee paid $390 |
| Total Amt Submitted$ | ||
| Type of Payment | Date of Payment | Paymet Ref. # |