Untitled Document

REGISTRATION FORM
Crystal Coast Unity
Awaken to Awareness Retreat

September 26 - 28, 2008 at the AHAM Meditation Retreat center

Crystal Coast Unity
P.O. Box 742
Morehead City, NC 28557

I plan to attend the program to be held on September 26-28, 2008 at the AHAM Retreat center. Enclosed is the $100 fee for two nights lodging and meals. (Make checks payable to AHAM or furnish complete credit card information below and mail or submit to Crystal Coast Unity) Registrations close 7 days prior to program start or sooner if program is full.

Please Print

Name:

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Address:

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City:

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State:

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Zip:

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Home Phone:

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Cell:

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Work:

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Email:

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Charge My:

Master Card _____

Visa _____

American Express _____

Card Number:

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Card Holder's Name:

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Card Expiration Date:

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Card's Security Numbers:

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