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 #42A, January 13 - January 17, 2020

SEMINAR #42B, January 20 - January 24, 2020

SEMINAR #42B, January 27 - January 31, 2020

SEMINAR #41A, October 14 - October 18, 2019

SEMINAR #41B, October 21 - October 25 , 2019

 

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