CONSCIOUS CITIZENSHIP SEMINAR
Registration Form
seminar details
Seminar will take place in Rhinebeck, NY. from 10:00-4:30 on Day 1 (with break for lunch); and 6:00-9:00 (with dinner included ) on Day 2. Location details TBA.
Name:
Phone number:
Email address:
Confirm email:
Mailing address:
City:
State:
Zip:
Seminar (check one):
Jan 31-Feb 1, 2004
Feb 28-29, 2004
Mail check for $180 made out to Diana Ayton-Shenker to:
Conscious Citizenship Forum, PO Box 774, Rhinebeck, NY 12572.
You will receive confirmation via email when your reservation has been processed.
