The Freeman Institute Store -- Order Form

Registering Form For Upcoming Seminar Event

BY SNAIL MAIL: Print out this form and follow directions. Mail the completed form and check/money order or Credit Card Information to the address below. Please fill out completely and recheck for any errors.

NAME__________________________________ Email_____________________________________________

ADDRESS ___________________________________ Postal CODE_________________ Date ____________

TEL (_______)________-__________ Number of Participants______ Cost Per Person $________Total $_______

               November 02-20, 2007 - Bd$120.00/US$60.00
               November 21-23, 2007 - Bd$140.00/US$70.00
               November 24, 2007 - Bd$150.00/US$75.00 (Day of Seminar Event)

Date of Seminar Event_________ Location_____________________________ Today's Date ________________

Credit Card Option Type of Card: Visa___ MasterCard___ American Express___ Discover___

Credit Card Number_______________________________________________ Expiration Date: ______/______

Signature____________________________________

Name/address/phone info for Card: Same as above? Yes__ No__ If not, please place correct card info in space below

GRAND TOTAL (BDS) $________________/ (U.S. Funds) $______________

Send m/o to: The Freeman Institute, Box 305, Gambrills, Maryland 21054

Send personal/company check to: FreeMind Institute, Haynes Hill, Bank Hall, St. Michael

Fax form (if using credit card) to: 246-426-7153 (secure fax)

FreeMind Institute Inc: 246-426-1892
Abundant Life: 246-427-9166
OR
Dr. Freeman: 410-729-4011

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