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No Email Address - Please mail paper confirmation:
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REGISTRATION FEE:
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$1,800 General Admission
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$1,600 Special Admission
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| $1,400 Active Pacifica student |
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Four-Month Intensive Deposit Enclosed*
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Four-Month Intensive Balance Due
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*One half of total fee is due with registration. Balance is due by January 4, 2013.
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Please indicate method of payment:
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Card Number:
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Expiration Date:
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Cardholder Name:
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3-Digit Verification:
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Signature (if printed):
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CANCELLATION POLICY:
To obtain a refund on your registration fee, send a written cancellation
request postmarked no later than January 4, 2013. Tuition less a $100 processing fee will be refunded. Cancellations made from this date through the start of the program will receive a refund less a $200 processing fee. No refunds will be issued after the first two sessions. In the event of cancellation after instruction begins, a pro-rata refund on the tuition will be based on the portion of the instruction already completed.
I have read and agree to the above cancellation policy
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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
Tel: 805.969.3626 ext. 103 • Fax: 805.879.7392 |
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