REGISTRATION FORM for The God Crucible:  Uniting God’s Masculine and Feminine Sides
by Jean Benedict Raffa, Ed.D.

Friday, February 8, 2008 7:30 p.m
The Unitarian Universalist Church
3975 Fruitville Rd., Sarasota
Saturday, February 9, 2008  10 a.m. to 4p.m  
Argosy University
5250 17th St., 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 February 5, 2008:
Lecture plus Workshop
______$40-members C.G. Jung Society of Sarasota

Registrations after February 5:
Lecture
______$10 members C.G. Jung Society of Sarasota
______$15 non-members
______$5 students
Workshop
______$40 members C.G. Jung Society of Sarasota
______$45 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