HEALTH AND SPIRITUALITY SEMINAR
by Raul Teixeira, Nov. 22, 2003
Registration Form
NAME:_____________________________________________________________
ADDRESS:__________________________________________________________
__________________________________________________________
PHONE: ___________________________________________________________
E-MAIL: ___________________________________________________________
******************************************
Please kindly answer the following questions that will enable us to serve you better in
the future:
1. Are you associated with any Spiritual Organization?
□ No
□ Yes. Please, provide the name of the Organization_____________________
____________________________________________________________
2. How did you hear about this event?
□ Friend
□ Internet (e-mail, website, etc)
□ Newspaper
□ Other. Please specify: ____________________________________________
3. □Yes, I want to receive e-mails from The Spiritist Society of Baltimore about
upcoming spiritual events.
Detach and mail this form with a $ 10.00 check payable to Spiritist Society of Baltimore to the
following address:
Spiritist Society of Baltimore, Inc.
1101 North Calvert Street # 514
Baltimore, MD – 21202