Registration for classes

for The Essence of the Bhagavad Gita class; $80 for 9 sessions ($72 if paid on-line)

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*First name:

*Last name:

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*Phone/home: (xxx-xxx-xxxx)

Phone/work: (optional)

                    Registering only; will pay $80 at first class.
    Payment: On-line by credit card (a secure transaction) $72

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Class starting date: (for office use only)

Class code: (for office use only)