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Registration Form

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First Name:
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How did you hear about Pacifica?
   
Choose A Date:
Saturday, August 9th
Saturday, September 27th
   
Accommodations at Pacifica's Ladera Lane
 
Please reserve a room for me:
Thursday
Friday
Saturday
Sunday
Monday
 
$80 per night, single occupancy      
$115 per night, couple occupancy   
$125 per night, double occupancy  
 
Add 10% Occupancy Tax on accommodations
I will be rooming with
 
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Submit this completed Registration online, or if you would prefer mail or fax it to us:
Pacifica Graduate Institute
Public Programs
249 Lambert Road, Carpinteria, CA 93013

Fax: 805-565-5796

 

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