The Freedom Seminar

To print: download the PDF Version

I hereby submit my application to register for this workshop with my cheque payable to:

Name:
Address:
City/Town:
Zip Code:
Tel:
E-Mail:

Please mail you application to:

To Register, complete this registration form and submit it to:
Mrs. Jennifer K. Smith Chong
345 Lakeshore Road East, #207
Oakville, L6J 1J5
Tel: 905 844 0834 FAX: 905 844 3212

by the time indexed below with your cheque designated to:
The Question of WHY Seminars.

This e-mail address is being protected from spambots. You need JavaScript enabled to view it

$600.00 if you submit this application by Monday, 9th

January 2012.

$650.00 if submit this application after Monday 9th

January 2012.