REGISTRATION FORM for Workshop
Jung and the Societal Implications of Religion and Mysticism
by Dr. John Dourley

Saturday, November 10, 2007, 10 a.m.- 4 p.m..
Meadows Community Association
2004 Longmeadow,Sarasota

No lunch provided. There are several restaurants nearby, or bring a brown bag lunch.

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

COST:
Early Registration Discount for Members Only
Register with Payment before November 7, 2007
Lecture and Workshop
______$35-members C.G. Jung Society of Sarasota

Registrations after November 7:
Lecture
______$10 members C.G. Jung Society of Sarasota
______$15 non-members
Workshop
______$30 members C.G. Jung Society of Sarasota
______$40 non-members
______$15 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