A Sense of Place Registration Form

May 2005 – April 2006

Please register me for Sense of Place 2005 - 2006

Name: ____________________________________________________

Address: ____________________________________________________

City: _____________________________ State: _______ Zip: ___________

Phone: (H) _______________________ (W) ________________________

E-mail:_____________________________________________

Note: The $360 registration fee covers the entire year–long program, including 12 Saturday Explorations, 12 Enrichment evenings, Notebook materials, maps, docents, special guides, entrance fees.

Registration Fee: Full year: $360 __________________
(Couples discount of $50, or $335 each, share one notebook.)

NOW WE HAVE OPEN ENROLLMENT THROUGHOUT THE YEAR!
COST WILL BE PRORATED FROM MAY 05 - PLEASE CALL FOR INFORMATION. 650-328-7756

Note: Since enrollment is limited to 30 participants, places will be filled on a first come first served basis of paid registrations, with a preference to full year registrants.

Total paid:__________________________

Check enclosed, payable to Foundation for Global Community or Charge *

#_____________________________________________ Exp. Date _______________
* (We accept American Express, Mastercard, Discover and Visa)

Signature _______________________________________

Please Return to: A SENSE OF PLACE, Foundation for Global Community, 222 High Street, Palo Alto, CA 94301; call 650-328-7756 or FAX 650-328-7785