Authentic Living Seminar
May 21, 2005

Santa Clara Convention Center
5001 Great America Parkway
Santa Clara, CA

 

Please Print this form out and mail with your check to the address below or use our PayPal online payment page to pay by credit card or PayPal:

The School of Meanings & Values
P.O. Box 3324
Camarillo, CA 93011-3324

How many attending: _________


Early Registration -- before May 1, 2005, $45.00 per person _________

Couples -- special price before May 1st, $85.00 ______

After May 1st, $55.00 per person______

DVD of Los Angeles, 2004 Authentic Living presentation, special event price, $30.00 ______

Total Amount Enclosed: ___________


First Name: ________________________ Last_______________________________________

Address: __________________________ City: ______________________________________

State:_____________ ZIP__________ E-Mail address:_________________________________

Work No. ____________________________ Home No. ________________________________

Please list any others who are attending:___________________________________________

 

Visa Card Payment

Date: ___________________________

Card No: _ _ _ _ / _ _ _ _ / _ _ _ _ / _ _ _ _

Expiration Date: _______ / _______

Name on Card: _________________________________________________

Signature: _____________________________________________________



Donations:

You may donate to The School of Meanings and Values and designate your donation if you wish to a specific area of study. All donations are deeply appreciated to continue our study/work and are tax deductible.

$10.00 $25.00 $50 $75 $100 $200 $500
Events Study Groups/Books Study Scholarships General