Registration - Preparing for your own Good Death and Life

Please complete the following form to register. A deposit of $130 is due and will be applied to the first two classes in this series.

Name*
First Last
Email*
Phone*
Address
Street Address Address Line 2 City State ZIP Code
Select Course Begin date*
- December 1, 2018
- March 19, 2019
Select the course beginning date for which you are registering.
2018 - Preparing for Your Own Death and Life*
*A deposit in amount of the first 2 classes is required to signup for this course. At $65 a class, the total deposit required will be $130 (2 classes x $65 =$130). Subsequent classes may be paid at time of class.
Price: $130.00
Coupon
I would like to pay*
- Online
- By Check
If you choose to pay online, you will be taken to PayPal to complete payment. You can pay with a credit card at PayPal even if you do not have a PayPal account.
Total
$0.00
Comments
This field is for validation purposes and should be left unchanged.

Registration – Preparing for your own Good Death and Life