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OFCGJ Registration Form
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Follow these 4 steps for Registration:
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| Step 1: Print Out this Page |
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Press your browser's Print button to print out this form.
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| Step 2: Fill Out the Form |
| Name: |
| Address: |
| City:_________________________________State:__________Zip:________________ |
| Phone:_____________________________Email:_______________________________ |
Workshop:___________________________________Date:_______________________
How did you hear about us?_________________________________________________ |
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| Step 3: Write a Check |
- ________ $60 for members registered one week before the weekend workshop
- ________ $70 for members registered thereafter
- ________ $85 for non-members
- ________ $65 Membership [good through September 30, 2007]
- ________ $30 Student Membership with photocopy of valid fulltime student
ID
- ________ Donation
- ________ Total amount being mailed in
Note: Lecture tickets may be purchased at the door. There is no charge for
CEU's. Workshop confirmations are NOT sent. |
| Step 4: Mail Form and Check to Us |
Please enclose your check or money order with this form and send to:
Oregon Friends of C.G. Jung
811 NW 20th Avenue
Portland, OR 97209
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