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The Nature Institute 20 May Hill Road Ghent, NY 12075 tel (518) 672-0116, fax (518) 672-4270 info@natureinstitute.org, www.natureinstitute.org |
2011 Summer Course Registration Polarities in Nature and the Nature of Polarity Please mail or fax this registration form by June 1 Name _________________________________________________________ Address _______________________________________________________ City ______________________ State _________________ Zip __________ Home phone ______________________ Work phone ___________________ Fax ________________________ E-mail _____________________________ Course Fee: $560 (less $30 if paid by May 1) Tuition assistance is available. Please contact us (phone 518-672-0116). __ I wish to stay in a private home and need housing for ____ nights. Please let us know if you have any special needs. Cancellation Policy: |