Please print and complete this form, then fax or mail to the address below:
A Dialogue of Light: Working with the Energies of the Inner Worlds
with Llewellyn Vaughan-Lee

At The Religious Science Center, 505 Camino de los Marquez, Santa Fe, New Mexico

Advance Registration is requested. Please register as early as possible.

To register:
You are welcome to register by phone, fax, or by mail.
By Phone: With a Visa or Mastercard call 415-663-8773, Monday - Friday, 9am - 5:30pm Pacific Time.
By Fax: Complete this form including credit card details and fax to 415-663-9128
My Mail: Complete this form and send with your check, money order, Visa or Mastercard payment details to:
The Golden Sufi Center
PO Box 428
Inverness, CA 94937

Please feel free to contact us via email with any questions: events@goldensufi.org

Please select one of the following. Prices are per person:

REGISTER BEFORE NOVEMBER 1st:
$20 Friday only $75 Saturday Only $85 Friday and Saturday

REGISTER AFTER NOVEMBER 1st:
$20 Friday only $80 Saturday Only $95 Friday and Saturday

Payment
Please include amount and method of payment. Checks or Money Orders are payable to The Golden Sufi Center.

Please note total amount due:
Payment Method: Please select one of the following:

Card Number (16 digits):

Expiry Date (month/year):

3-digit Security Code (last 3 numbers on back of card):

Name on card:

If your billing address is different from the address above, please write the billing address here: