Praxis
Peace Institute - Registration Form – Dubrovnik
Conference Sunday, June 3 to Saturday, June 9, 2007
ORGANIZATION___________________________________________ ADDRESS__________________________________________________ CITY____________________________ State______________ Zip_____ PHONE_________________________ E-MAIL____________________________________________________ PLEASE CHECK PACKAGE OPTION: A. SEA VIEW, SINGLE - $2,300__________ B. SEA VIEW, DOUBLE - $1,800___________ C. PARK VIEW, SINGLE - $2,100___________ D. PARK VIEW, DOUBLE - $1,650___________ YOUTH PACKAGE, DOUBLE - $1,550 (25 or under)_______ If choosing a Double Room, please supply Name of Roommate: _______________________________________________ If you are seeking a roommate, please call our office - 707-939-2973, and we will try to accommodate your needs. I prefer Payment Options: VISA________MASTERCARD_______CHECK______(checks save us money in bank fees.) Amount___________________ Credit Card Number_________________________________________ Expiration Date________________________ Signature__________________________________________________
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