Feng Shui Master Registration Form

Feng Shui Master Level Training

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:	July 2nd, July 9th August 6th, 20th September 3th, 17th October 1st, 8th November 5th Thursdays
Time of Class:	6:30-8:30pm
Location:	MSI Classroom 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 $575.A non-refundable deposit of $100.00 is required to hold your seat.
All students must be registered and paid in full by July 2 2009.
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/Discover 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