© Copyright 2006 E. Jack Lemon
information@addictedtocertainty.com
734-770-4566
The Reality School
Bear Creek Farm Registration Form
9501 Dundee/Azalia Rd
Maybee, MI 48159
734-770-4566
* Required Fields
*First Name:
*Last Name:
*Street Address:
*City:
*State:
*Zip Code:
*Phone Number:
*E-mail Address:
Cost of Workshops I, II, III, & V
at  Bear Creek Farm
$50.00 each

Cost of Workshop IV $50.00 per hour
Workshops Must Be Taken Sequentially
SUNDAY
WORKSHOPS
6:00 to 9:00 p.m.
WEDNESDAY
WORKSHOPS
6:00 to 9:00 p.m.
Select Date
Select Date
Workshop I
Workshop II
Workshop III
Workshop IV
Workshop V
Workbooks
Submission of this form is only for
Credit Card Transactions
The Reality School
will send you an
E-mail Invoice through PayPal
for a secured payment
(A PayPal membership is not necessary)
Bear Creek Farm

Schedule





Registration
If paying by check, please send check payable to:
"Addicted To Certainty"
along with printed registration form to:

The Reality School
Bear Creek Farm
9501 Dundee/Azalia Rd.

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Registration by phone at: 734 - 770 - 4566