STUDENT RESERVATION APPLICATION

Living Foods Learning Center
PO Box 1380 Columbus, NM 88029
Tel.(575) 531-2450 Fax(575) 531-2456

A GIFT TO THE BODY...A TREAT FOR THE HEART
REDUCE STRESS,,,LOSE WEIGHT...STOP SMOKING...INCREASE ENERGY

APPLICATION FOR STUDENT RESERVATION

NAME: ____________________________________________________________________________________

ADDRESS: ________________________________________________________________________________

CITY, STATE, ZIP:_________________________________________________________________________

COUNTRY: _____________TELEPHONE:_______________________FAX:__________________________

E-MAIL ADDRESS: _______________________________________________________________________

****ENCLOSE A NON-REFUNDABLE 20% DEPOSIT****
(TUITION IS TO BE PAID IN FULL UPON ARRIVAL AND IS NOT REFUNDABLE)

COURSE TUITION FEES PER PERSON FOR THREE WEEKS: DORMITORY(3 PEOPLE) $1900.00
SEMI-PRIVATE(2 PEOPLE) $2200.00

DEPOSIT RATES ARE AS FOLLOWS (1 PERSON): DORMITORY ROOM $380.00
SEMI-PRIVATE ROOM $440.00

PAYMENT: CASHIER’S CHECK ( ) TRAVELER’S CHECK ( ) MONEY ORDER ( )

**** NO PERSONAL CHECKS****
MAKE CHECKS PAYABLE TO: LIVING FOODS LEARNING CENTER

ARRIVAL DATE & TIME: ____________________________________________________________________

DEPARTURE DATE & TIME: _________________________________________________________________

COURSE DATES FOR 2008
APR 7--APR 25 JULY 7--JULY 25 OCT 6--OCT 24
MAY 5--MAY 23 AUG 4---AUG 22 NOV 3---NOV 21
JUN 2--JUN 20 SEP 8--SEP 26 DEC 1---DEC 19


NOTE: TUITION INCLUDES (ACCOMMODATIONS, MEALS, INSTRUCTION, COURSE ACTIVITIES AND A GRADUATION DIPLOMA)

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