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: _____________________________________________________
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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.