Retreat Registration

REGISTRATION FORM
"Astronomy, Spirituality & the Mayan Prophecy: Living the Sacred"
A Memorial Day Weekend Retreat in Amherst, Massachusetts
May 28-31, 2010

To register for the retreat, print the form below, fill in the information requested, and mail with your check to the address below.

Contact Information:

Name ________________________________________________
Address _____________________________________________
City, State ________________________________________
Phone ___________________________ E-mail ___________________________
Date of Birth __________________________ Before/After Sunrise (circle one)
(contact information to be used for retreat purposes only)

Tuition:

Bring a Friend -- $250
Early Bird by 5/10 -- $270
After 5/10 -- $295

Tuition covers all retreat sessions and materials.

Registration:

The registration fee of $125 is due with this form.
Balance due by May 28

If you are registering with a friend, please include the friend's name below --

Friend's name __________________________________________________

Checks for the registration fee should be made out to the Foundation for Astronomy and Spirituality, Inc. and sent to: