GROUP OF FORTY REGISTRATION FORM

Name:

Address:

Phone:

Please include a short paragraph about yourself and your spiritual interests:

 
 
 
Is it okay to put your name, address and phone number in the newsletter so that others in the group may contact you?
 
Where did you hear about Group of Forty?  
 
 
Would you be interested in attending future Group of Forty workshops?

Do you have skills that would benefit the Group of Forty project (marketing, publishing, media, organizing large-scale events, etc.)?

Send this registration form and $40 registration fee
(check or money order in US funds) to:  

David K. Miller
P.O. Box 4074
Prescott, AZ 86302
USA

If you can’t afford the registration fee, please send the form with a note:
Can’t contribute at present time.

For more information or for PayPal payment contact: 

www.groupofforty.com