4 Easy Ways to Register

1. FAX this form to:
1-714-974-7973

2. MAIL this form to: 
Vision In Action
5753-G Santa Ana Cyn. Rd. #1002
Anaheim, CA  92807

3. CALL
1-800-509-1955
for phone reservations

4. Register ONLINE through PayPal
using your credit card
Click on “Add to Cart”
(does not require a PayPal account)

Name:

Company

Job Title:

Address:

City:

State: Zip: County:

Area Code:

Phone:

Email Address:

Authentic Thinking for Creative Evolution 2007-2008

If printing this form, please check your course location:
  Los Angeles  or  New York City
Select option 1, 2, 2b or 3 below  (all tuition and enrollment fees are nonrefundable)

Click button to pay online with your credit card through PayPal - does not require a PayPal account

Tuition Options

Tuition

PayPal

Option 1 - Initial $500 enrollment deposit by August 31
- Holds your place in the course and applies to tuition
- Full tuition must be paid before the first seminar

$500

Los Angeles
 

New York
 

Option 2 - Course tuition with early discount by August 31.
Includes $500 discount when tuition is paid by August 31
- Holds your place in the course

$4,000

 

Los Angeles
 

New York
 

Option 2b - 2nd person, same household & early registration discount
- $500 discount for person from the same household: i.e.,  married, engaged or significant other
- Also includes $500 discount tuition if paid by Aug. 31
-
All the benefits listed in Option 1 and 2

$3,500

 

Los Angeles
 

New York
 

Option 3 - Course tuition paid after August 31
Full tuition must be paid before start of the first session.

$4,500

 

Los Angeles
 

New York
 

Total

 

Payment Method:    __Check  (payable to Vision In Action)     __ VISA          __ MasterCard

Credit Card Information

Name on card (and address if different than above) :
 

Card No.:

Expiration Date:

Verification Code:

Signature:

(last 3 digits on back of card near signature or 4 digits above embossed account # on front)