To register, send your check, along with event desired, name, address and phone number to:
Southern Arizona Friends of Jung
P.O. Box 64267
Tucson, AZ 85728-4267
Just print out this form, fill in and mail. Please print clearly.
Name of Event: ________________________________________________
Date of Event: ________________________ Fee: _____________________
Name of Event: ________________________________________________
Date of Event: ________________________ Fee: _____________________
Name of Event: ________________________________________________
Date of Event: ________________________ Fee: _____________________
Name of Event: ________________________________________________
Date of Event: ________________________ Fee: _____________________
Member _______ Non-Member _______ (check one)
NAME _____________________________________________________
ADDRESS __________________________________________________
CITY __________________________ STATE ________ ZIP __________
PHONES (home) ____________________ (work) ____________________
E-MAIL ____________________________________________________
___ Check here if you don't want to register at this time but would like your name added to our e-mail list, which is our preferred method of notification. Please indicate if you do not have an e-mail address and need to receive notifications via regular mail and fill in the information above.
Subjects you would like to see in future lectures and/or workshops:
____________________________________________________________
Authors/Analysts/Speakers you would like to hear or work with:
____________________________________________________________
Send this form and your check to SAFOJ, P. O. Box 64267, Tucson, AZ 85728-4267. Please note “registration” in the memo section of your check.
THANK YOU FOR SUPPORTING SAFOJ!
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