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YES, I wish to attend The Synergic Epoch: Survival and Spirituality in the 21st Century October 11-14, 2002, at Claymont Court.
name__________________________________________________________ address_________________________________________________________ city_____________________ state_______________ zip________________ email__________________ phone__________________ fax______________
Credit Card MasterCard/VISA________________________ exp. date________________ amount_________________ signature________________________________ please make checks payable to DuVersity Inc. and mail to Karen Stefano, Registrar, 8 Homewood Hills, Charles Town, WV, 25414
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Director
of Studies: Anthony Blake | |
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