|
Experience
The La Jolla Program. A project of Center for Studies of the Person.
August 14, 2010 5:00 p.m. thru August 21,
2010 1:00 p.m. Tuition: $850 double occupancy, $990 single occupancy. Tuition includes all meals.
Location: Silver Falls, Oregon. REGISTRATION FORM: Name: Mailing Address: City:
State:
Zip: Phone:
Cell: E-mail:
Fax:
Affiliation:
Charge my Credit Card $:
Visa M/C Credit Card #:
Exp. Name
as printed on card:
Credit Card Billing Address: Signature:
Make checks payable to:
The La Jolla Program. Amount Enclosed:$
Mail this form along with a check to: The
La Jolla Program, c/o Keddie Burrows, 2454 S.E. 6th Street, Bend, Oregon 97701. If convenient please include
a $50.00 deposit applicable to your tuition. This fee is returnable. For more information please contact: Keddie Burrows: justkeddie@yahoo.com or
by cell phone: 541-480-4420. You may also contact Bruce Meador: bmeador@earthlink.net or by phone:
760-789-4794. The La Jolla Program is a non-profit organization.
|