Registration for
All You Need is Love February 20, 2010


Please return this form with your check or money order payable to:
Paul Dunion, 22 Southgate Circle, Franklin CT 06254


Please check one option:

I am mailing before 2/13/10, and enclosing $80/individual or $150/couple  [   ]

I am mailing 2/14/10 or later, and enclosing $90/individual or $160/couple [   ]


Name___________________________________________________________________________________


Address_________________________________City/Town______________________State______Zip________


Home Telephone _________________________________Cell______________________E-mail____________

Refunds: Full refund (minus a handling fee of $10) if you cancel before Thursday February 18;
no refunds will be given if you cancel Friday or later.

If you have further questions, please call 860-822-8548.


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