|
||
|
|
||
|
|
||
|
Registration |
||
|
|
||
|
Please note: This is an on-line registration form. Copy, paste
and complete this form on e-mail
and send it, or contact The School of Spiritual Psychology. |
||
|
|
||
|
THE SCHOOL OF SPIRITUAL
PSYCHOLOGY |
||
|
4200 West Good Hope Road |
||
|
Milwaukee, WI 53209 USA |
||
|
Phone: 414-351-5770 |
||
|
Fax: 414-351-5760 |
||
|
|
||
|
|
||
|
|
||
ONSITE WORKSHOPS, SEMINARS AND COURSES |
||
|
|
||
|
Name of
Workshop/Seminar/Course, the Starting Date and Tuition |
||
|
1. |
||
|
2. |
||
|
3. |
||
|
4. |
||
|
5. |
||
|
Total Tuition: |
||
|
|
||
DISTANCE LEARNING COURSES* |
||
|
|
||
|
Number and Name of Course,
the Starting Date and Tuition |
||
|
1. |
||
|
2. |
||
|
3. |
||
|
4. |
||
|
5. |
||
|
Total Tuition: |
||
|
|
||
|
* Learners may take
individual Distance Learning courses with the instructor's approval without
making application to the Certificate or Academic Degree Programs. Admission
to either Program requires formal application (see Admissions). If you are
not in either Program, include a brief statement about your preparation to
take the course for which you are registering and/or contact the SSP to
inquire about the appropriateness of individual courses for you. |
||
|
|
||
|
Contact Information: |
||
|
First Name: |
||
|
Middle Name: |
||
|
Last Name: |
||
|
Address: |
||
|
City: |
||
|
State/Province: |
||
|
Zip/Postal Code: |
||
|
Country: |
||
|
Home Phone: |
||
|
Work Phone: |
||
|
Fax: |
||
|
Email: |
||
|
Native Language: |
||
|
|
||
|
How did you hear about The
School of Spiritual Psychology? |
||
|
|
||
|
Select Payment Method:
Check__ Charge__ |
||
|
Select Credit Card: Visa__
MasterCard__ |
||
|
Account Number: |
||
|
Expiration Date
(mm/dd/yyyy): |
||
|
Amount Charged (U.S.
currency): |
||
|
|
||
|
|
||
|
|
||
|
Please note: This is an on-line registration form. Copy, paste
and complete this form on e-mail
and send it, or contact The School of Spiritual Psychology. |
||
|
|
||
|
THE SCHOOL OF SPIRITUAL
PSYCHOLOGY |
||
|
4200 West Good Hope Road |
||
|
Milwaukee, WI 53209 USA |
||
|
Phone: 414-351-5770 |
||
|
Fax: 414-351-5760 |
||