Registration for meditation classes

for Learn to Meditate class; $60 for 4 sessions ($54 if paid on-line)

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* required

*Class starting date: (MM/DD/YY)

*First name:

*Last name:

*E-mail address:

*Address:

*City

*Zip

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

Phone/work: (optional)

Payment: On-line by credit card (a secure transaction)
Registering only (pay at first class)

(Click on Send to complete the registration process)


For office use only

Class code: