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New York Feng Shui Institute REGISTRATION FORM FENG
SHUI MASTERS PROGRAM 2010
programs |
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Feng Shui Masters Program: Friday 7pm-10pm, Sat/Sun 9 am – 6pm
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APPLICANT INFORMATION: NAME__________________________________________________________________________ ADDRESS:______________________________________________________________________ CITY:_________________________State______________________________ZIP_____________
TELEPHONE:
HOME___________________________OFFICE____________________________ E-MAIL:_________________________________________________________________________
SIGNATURE_____________________________________________________________________ METHOD OF PAYMENT: AMEX
VIXA MC (CIRCLE ONE) CARD #
___________________________________ EXP. DATE___________________________ Make
check/money order payable to : LONG
ISLAND FENG SHUI INSTITUTE
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