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The Golden Sufi Center
P.O. Box 428
Inverness, CA 94937-0428, USA
tel: (415) 663-8773, fax: (415) 663-9128
email info@goldensufi.org

all contents of website © The Golden Sufi Center

Registration form for the May 2007 Events


Please print and complete this form, then fax or mail to the address below:

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


Name(s)

Address

City

State and Zip Code

Country
(if outside USA)

Daytime phone

Evening phone

Email


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


REGISTER for BOTH DAYS, FRIDAY MAY 18 and SATURDAY MAY 19
both days

REGISTER for FRIDAY, MAY 18 Only

REGISTER for SATURDAY, MAY 19 Only
Saturday only

 

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:



We will send a confirmation via email for your booking. If you do not have email, it will be sent via US Mail.

Return to Washington events page.