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 #48A, January 9 - January 13, 2023

SEMINAR #48B, January 16 - January 20, 2023

SEMINAR #48C, January 23 - January 27, 2023

SEMINAR #47A, October 17 - October 21, 2022

SEMINAR #47B, October 24 - October 28, 2022

 

Please CIRCLE which AMOUNT your payment is for.

Deposit: $150.00

Balance $400.00

TOTAL $550.00

Please mail this to:

Mary Carole
7050 Lewis Lane
San Luis Obispo, CA 93401