The Welcomed Consensus Phone: 1-877-HOW-TO-DO or 1-415-337-7157
Payment can be made with check, money order, or credit card (VISA or Mastercard only). Print this form and mail it with your payment to: The Welcomed Consensus, P.O. Box 27023, San Francisco, CA 94127. Place a mark next to each course you wish to attend. Write in the sum of the registration fees for those courses in the space provided below. This is the amount due at the time of registration; please enclose this amount with this form. This registration fee is non-refundable. The balance can be paid the morning of the first day of the course. |
Personal Information
Your Name
Postal Address
City
ZIP/Postal Code
Email address
Phone number
I prefer to be contacted in the:
by:
__________________________________________
__________________________________________
__________________________________________
________________ State/Province________________
________________ Country _________________
__________________________________________
__________________________________________
____morning ____afternoon ____evening
____phone ____e-mail
Course Registration
|
Course Name: |
Start Date: |
Total Cost: |
Registration Fee: |
Balance: |
____ |
Sat 9/11/10 |
$350 |
$70 |
$280 |
Payment Information
Registration Fee Total (please enclose payment for this amount): ___________
Balance Total (due at course start): ___________ Form of Payment
Credit Card Number
Expiration Date
(U.S. Dollars)
____Visa ____Mastercard ____Discover ____Money Order ____Check
____________________________________
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