The Peace Center: Workshop Registration

THE PEACE CENTER

Workshop Registration Form

Name _____________________________________________________________

Organization _______________________________________________________

Mailing Adr ________________________________________________________

Apt, etc. __________________________________________________________

City ______________________________ St ____ Zip &+4 ________________

Telephone, Day _______________________ Eve ________________________

e-mail _______________________________

Name of Workshop	Date	Cost

To register for a workshop, print out this form,
fill in, and mail with check to:
Or advance register by fax:

The Peace Center
102 W. Maple Ave.
Langhorne, PA 19047 215-750-9237

Return to Peace Center home page. Return to Events page.

To register for a workshop, print out this form, fill in, and mail with check to:		Or advance register by fax:
	The Peace Center 102 W. Maple Ave. Langhorne, PA 19047	215-750-9237