WORKSHOP REGISTRATION

Workshop Registration Form

To pay for this workshop with a check:
- complete the registration form below and click "Submit Form"
- mail your check in US dollars to: Tamalpa Institute, 734 A Street, San Rafael, CA 94901

To pay for this workshop with a credit card*:
- complete the registration form below and click "Submit Form"
- call the Tamalpa office at 415-457-8555 with your credit card information
*Note: workshop fee reflects cash discount of 6%, credit card users must pay 6% more than the stated workshop fee.

To pay for this workshop using PayPal:
- return to the previous screen and click "Register Now"

*You must fill in each area in this application or you will not be able to submit the form.
If you do not have an answer for one of the boxes write "N/A"

From Email:
First Name:
Last Name:
Address:
City:
State:
Postal Code:
Country:
Phone:
Workshop:
How did you hear about this workshop?



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