Address:___________________________________________________________
City/State/Zip:_____________________________________________________
Phone: (______) _________ _________Your Fax: (______) ______ ________
E-mail address:____________________________________________________
Enter below how many Early Bird Passes you want.
_____ Each 2009 " Early Bird 3-Day
Pass"
= $285 (Valid to 8/31/09)
_____ Each 2009 "Early Bird 3-Day VIP Pass"
= $325
(VIP seating)
______ Early Bird VIP
"Package Pass" (Includes 2 Institutes) = $430
_______ Monday, 9am-12pm, Institute with Jonathan Goldman = $60
_______ Sunday 5:30pm Workshop with Dr. Steven Greer = $50$___________
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 number.
Visa:________Mastercard:_________Discover:_________
Card No :____________ ___________ ____________ ____________
Exp. Date:___________ Signature:__________________________