"C.S. Lewis and the Soul's Journey"
~REGISTRATION FORM~
Please print out, fill out, and mail or fax with payment to:
C.S. Lewis Foundation, PO Box 8008, Redlands, CA 92375
Fax: 909-335-3501


Yes, please accept my registration for "C.S. Lewis and the Soul's Journey". I understand that space is limited and recognize that submission of my registration form serves only as a provisional booking. Upon verification of space availability, I understand that confirmation of my booking will be provided by return mail. (Please allow up to three weeks for processing.)

Title:___________
Name (First, Last): _________________________________________________
Address: ________________________________________________________
City: ______________________ State: _______________ Zip: __________

Home Phone: ____________________   Work Phone: ____________________
Email Address: _____________________________________________________
Seminar Choices:
Seminar II: July 13 - 19, 2003 - Available Space    
Accomodations:
 Double (Traveling with Spouse)   Name of Spouse: __________________________
Double (Traveling with Friend)   Name of Friend: ____________________________
Double (Please assign Roommate)

Age : (  ) 18 -35;  (  ) 36 - 45;  (  ) 46 - 60;  (  ) Over 60

Amount Enclosed:
$295 Registration Fee
 $1,000 Tuition
 $1,400 Room and Board
Other: ____________
Form of Deposit:
Check Enclosed (Please make payable to "C.S. Lewis Foundation")
Visa
MasterCard
Discover Card

Card Number: _________________________________ Expiration: _________
Name as it appears on Card: ________________________________________

Signature (as it appears on Card): ____________________________________
C.S. Lewis Foundation, PO Box 8008, Redlands, CA 92375
Toll Free Reservations: 1-888-CSLEWIS or via Fax: 909-335-3501
Email summerseminar@cslewis.org.