RCS    Registration Form    
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Yes, I would love to join the following Rosh Chodesh Society Classes 
(please check all that apply)

November 5th  
Is Good Good Enough?

December 3rd  
The Love at the End of the Tunnel

January 7th  
Your Beautiful Fruit

February 4th 
The Woman in the Moon

March 4th  
Your Reason for Being 

April 1st 
Free At Last  

May 6th 
Engraved in Your Heart 

Contact Information
 Name 
Last Name 
Address 
City/State/Zip 
  
Phone 
Email 

Payment Information
$15 per Session $54 for full year Sponsor 
Charge Amount  Payment Type 
Card Number 
Expiration Date 
 
Card Code 
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