
NOTE: Please do not include cabin request on the Registration Form.
Institute Cabin reservations must be made by calling the Education Office only:
(760) 745-9096
Name: __________________________________________Phone: ______________
Address: ____________________________________________________________
City/State: _________________________________________Zip: ______________
Email Address: _______________________________________________________
Session 1 ___________________________________________________________
Session 2 ___________________________________________________________
Session 3 ___________________________________________________________
Session 4 ___________________________________________________________
Session 5 ___________________________________________________________
Session 6 ___________________________________________________________Registration Information and Fees:
Tuition:
$50.00 per class
3 classes for $125.00
4 classes for $150.00
5 classes for $175.00
6 classes for $200.00
Classes: _________________________________Tuition ______________________
Payment: Check___ Credit Card___ Money Order___ Cash___ (not if registering by mail)
Credit Card Number _______________________________ expiration date _______
Name of card holder _____________________________
Visa___ Master Card ___ Discover___
Signature ___________________________________________________________
Early Registration is from July 6 to July 13. A $10.00 late registration fee is charged for
registering after July 13, 2008.
To register in person or for additional information, the
Education Office will be open Sunday afternoons (until 2:00 pm)
July 6, 2008 and
July 13, 2008. Partial refunds are available before July 13, 2008 minus a $10.00
processing fee for
cancellation but no refunds after that date.
Payment must be included with application to complete registration.
When registering by mail you may print this form and send to HGSA
Attention: INSTITUTE REGISTRATION.
Harmony Grove Spiritualist Association
2975 Washington Circle
Escondido, CA 92029
(760) 745-9176 ~ Fax (760) 745-3482