MSI
Mystical Sciences Institute
(847) 866-0505

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Contact us
info@msi-healing.com

 

Universal Laws Program

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


Date of Class:
February 2, 16 Thursday's
March 9, 23 Thursday's
April 6, 20 Thursday's
May 4, 25 Thursday's
Review Sessions March 14, April 25, May 16 (Tuesdays)
Time of Class:
7:30pm -9:30pm All Classes
Location:

MSI Classroom The Great Hall of Learning
2153 Ashland Ave Evanston IL. 60201

Name
 
Address
 
City, State & Zip
 
Telephone
 
Email address
 
Correct name for certificate
 
Total Amount Submitted
$
Check or
Money Order #
 

The Fee is $395.A non-refundable deposit of $100.00 is required to hold your seat.
All students must be registered and paid in full by February 2, 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.

Office use only
Date Rec'd initials of staff member
recording info
Date Data entry complete Date confirmation call date Filed/assigned
books & material