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Series and Workshops Pre Registration Form

Please fill out the Form below and press Submit to send it to our Office. Your record will be entered into Preregistration list. That means you'll still have to pay workshop's fee before it starts. However, Pre Registration guarantees that late fee(s) won't apply. Please e-mail: office@pacificcultural.org if you have any questions.

Workshop or Series
Your First Name:
Your Last Name:
E-mail address:

Other form of contact
(if no e-mail available):
Day of the Week:
(see Enrollment or AYI Schedule for the most current series or workshop listing)

Mon. Tues. Wed.
Th. Fri. Sat. Sun.

Time the class starts:
(see Enrollment for the most current listing)

Teacher's Name:

 

Comments:

 

 

    

 

Pacific Cultural Center
1307 Seabright Avenue (at Broadway), Santa Cruz, CA 95062
Phone: 831-426-8893, Fax: 831-426-4951

E-mail:
office@pacificcultural.org
Web:
www.pacificcultural.org


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Copyright 2001, Hanuman Fellowship. All rights reserved.
Last updated July 16, 2002
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