S.E.E. in the field, 2009, Portland, OR
Registration Form
Path to Wisdom, August 3–7, 2009

Unity Church of Portland, 2763 SE Stark Street, Portland, OR 97215 • (503) 281-0250 • see2009@unityportland.org

Confirmation will be sent via email within 3 days of receipt of application. Upon completion of this form, you will need to choose a payment option, either paying by check via US Mail, or online using your credit card or Paypal account. Registration is not complete until payment in full has been received.

Your name:

Address 1:

Address 2:

City:

State:

Postal code (ZIP):

Country:

Home Phone:

Work Phone:

Your email address:

Mobile Phone:

Do you need special accomodations for a physical disability?

 Yes
No

If yes, please
describe.

Unity Church Affiliation:

Church City:

Church State:
Medical Emergency Information

Medical Emergency Contact Name:

 Medical Emergency
Phone #:
Medical Insurance Carrier (optional)
Check your preference for classes below: Classes you wish to take, $60 each with no credit. ($75 after July 14.)
If SEE credit is desired; add $36 per class for Unity Institute fee.
Creative Process Credit:
Creative Process, NO Credit:
Bible Interpretation, Credit:
Bible Interpretation, NO Credit:
Unity Movement, Credit:
Unity Movement, NO Credit:
Metaphysics I, Credit:
Metaphysics I, NO Credit:
Healing, Credit:
Healing, NO Credit:
Prosperity, Credit:
Prosperity, NO Credit:
SEE ID number is required when taking a class for credit. You have an ID number if you have previously taken SEE classes; if not, one will be assigned.

Daily Lunch at Unity of Portland @ $7 per meal. Please indicate days for which you wish lunch, and if vegetarian, check "Veg".

Mon
Tue
Wed
Thu
Fri 
Veg

PLEASE make a note of the charges for the classes you are taking, the SEE credit charges, if any, plus the charges for lunch. You will need these amounts to properly make payment via Paypal or personal check.

Please enter your any additional information you need us to know:
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