Informal Mentoring Group
With Teresa Seputis
Apr 5, to Jun 14, 2008; 6 sessions. Course Enrollment Form

Name: _____________________________________________________________

Mailing Address: ___________________________________________________

City:__________________________ State/Providence: __________________

Postal Code:___________________ Country: ___________________________

Phone Number: _____________________________________________________

E-mail Address: _____________________________________________________

The class is Saturdays at 8-9 AM PST, on Sep 13, 27, Oct 11, 25, Nov 8 and Dec 6

Please complete the registration form and mail it with a check or money order in US Dollars to

We are sorry, but we are unable to accept registrations that do not pay the course fee in full.