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Life Enrichment Centre |
Registration Form |
INTERNET: Our home page address http://www.ppquimby.com/calg/calg.htm |
Please enroll me in the Spring '08 Course
on Resolving Personal Challenges
My contribution of $100.00 to Life Enrichment Centre is Attached.
Name: (please print) .....................................................................................................................................
Address: ......................................................................................................................................................
City............................................... Prov................................................. Postal Code ...................................
Telephone: Res........................................................... Bus...........................................................................
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Please note: If you are taking this Course by correspondence & audio cassette tape, check here: [ ]