Registration

BACK TO THE FUTURE: Gifts of the Desert

Attendee Registration Form

* Indicates required field

Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Phone Number *

Total number of guests attending $60/person or paypal $63/person *

Total Number of Dinner Reservations – Saturday evening $25/person or paypal $26/person *

Would you like to reserve a copy of “Standard of Excellence” published by The Pyramid Society? A copy will be held for you in Milwaukee at a discounted price of $18.50 each. Paypal $19.25 Total # of copies *

Paying with? *

Check Paypal

Are there particular questions or concerns regarding? Please let us know ways in which we might help you make the most of your experience. *

Are your reservations associated with another group or individual? Please list any associated groups, special arrangements, names of other individuals with whom you would want to be linked during the seminar and clinic. *

Submit

Please send checks to: WEAHA c/o M. Kent Mayfield
In memo, please include name registered in. 1840 N. Prospect #1004
Milwaukee, WI 53202-1965

OR Use PayPal for convenient, prompt service. An additional service charge needs to be added to the charges for PayPal payments.

BACK TO THE FUTURE: Gifts of the Desert Attendee Registration Form

BACK TO THE FUTURE: Gifts of the Desert

Attendee Registration Form