In the Name of Pride - Registration | Black Heart Feri Training

In the Name of Pride - Registration

Personal & Contact Information

Name:
Magical/Online Name:
Email Address for personal correspondence with me:
Email Address for correspondence to the group email list:

Association with Feri Tradition

If you are a student, who are you currently studying with?
Are you an initiate?	Yes No
If you are not an initiate or student, explain your relationship to the Tradition in detail:

Registration Deadlines and Tuition Payments:

Registration and payment in full must be received no later than June 30, 2010. There are a limited number of spaces available. Your tuition paid in full holds your space. Payment may be made via PayPal. Your receipt will state that payment has been made to Sanctuary Hill.

Please indicate the level of payment you will be making:	$88 $106 $124
Will you be making a voluntary contribution to the scholarship fund?	Yes No
Amount:

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