REGISTRATION FORM for The Creative Journey:   From Inspiration to Realization
by Phil Cousineau

Friday, March 7, 2008 7:30 p.m
The Unitarian Universalist Church
3975 Fruitville Rd., Sarasota
Saturday, March 8, 2008  10 a.m. to 4p.m  
Lunch available on-site for $6.50 if registered by March 4; or call 312-9062.
South Wing, The Unitarian Universalist Church
3975 Fruitville Rd., Sarasota

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DATE____________
NAME:___________________________TEL:________________ E-MAIL:_________________________
ADDRESS:_________________________________________________________________
CITY:__________________________STATE:______________________ZIP:________________

COST:
Early Registration Discount for Members Only
Register with Payment Before March 4, 2008:
Lecture plus Workshop
______$45 -members C.G. Jung Society of Sarasota
______$6.50 -Lunch

Registrations after March 4:
Lecture
______$10 members C.G. Jung Society of Sarasota
______$15 non-members
______$  5 students
Workshop
______$45 members C.G. Jung Society of Sarasota
______$50 non-members
______$20 students

Amount enclosed $_____________   (Make check payable to C.G. Jung Society of Sarasota)

Mail registration form and check to:

The C.G. Jung Society of Sarasota
P. O. Box 50611
Sarasota, FL 34232