Reservation Form for
Mary Carole's
Seminars

Please print out this form and mail in with your payment

NAME ___________________________________________

ADDRESS ________________________________________

CITY __________________________STATE, ZIP __________________

PHONE ___________________________________

E-Mail address _______________________________________

Enclosed is my payment for: Please CIRCLE what your payment is for.

Credit Card # (VISA/Master only) ______________________________
Expire date __________________

CVV number on back ______

Name on Card _______________________________________

 

Please CIRCLE which Seminar your payment is for.

SEMINAR #38A, January 8 - January 12, 2018

SEMINAR #38B, January 15 - January 19, 2018

SEMINAR #38B, January 22 - January 26, 2018

SEMINAR #39A, October 15 - October 19, 2018

SEMINAR #39B, October 22 - October 26, 2018

 

Please CIRCLE which AMOUNT your payment is for.

Deposit: $150.00

Balance $350.00

TOTAL $500.00

Please mail this to:

Mary Carole
7050 Lewis Lane
San Luis Obispo, CA 93401