Address:____________________________________________________________
City/State/Zip:______________________________________________________
Phone: (______) _________ _________Your Fax: (______) ______ _________
E-mail address:______________________________________________________
Enter below How many "Advance" 3-Day Passes you want.
_____ Each Advance 3-Day Pass =
$285
_____ Each Advance 3-Day VIP Pass = $325 (= with VIP seating)
_____
Friday Only Pass (B Marciniak
& Whitley
Strieber) = $140
_______ Friday, 2-5pm Institute with Barbara Marciniak = $50
_______ Monday, 9am-12 Institute with Andrew
Collins
= $50
______ Saturday
Evening
Keynote (Marciniak) Only = $50
$___________
Total AMOUNT, either by check or by credit card.
Please, make all checks payable to: "Dr. Chet Snow"
Credit card
payments MUST include your home telephone.
Visa:________Mastercard:_________Discover:_________
Card No :____________ ___________ ____________ ____________
Exp. Date:___________Signature:__________________________
A $50 admistrative fee will be subtracted from ALL cancellations before October 1. NO Refunds given after October 1.