Registration for The Live T.A.L.A.M. Program Justis Chase Full name

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Registration for The Live T.A.L.A.M. Program
Justis Chase
Instructions for registration.
To be eligible to take the T.A.L.A.M. program you will need to register with Justis Chase by making a
fully refundable deposit of $200 to hold your place. This initial deposit will be fully refundable until
December 1/2008 at which point if you have not notified Justis Chase in writing of your decision to have a
refund the deposit becomes non-refundable. You will be required to send the remaining balance of
$1270.00 to Justis Chase by international money order by the end of December/2008 to the address below.
Your deposit must be sent by mail with an international money order made out to Justis Chase in Canadian
Funds for the amount of $200.00 with this registration agreement.
Address: Justis Chase, 104 663 Beckett Cr. Saskatoon, Saskatchewan, Canada, S7N 4W8
I also understand that should the program be cancelled by Justis Chase for any reason whatsoever I will
receive a full refund for my deposit and or balance by mail within 30 days of said cancellation.
Full name ________________________________________________
Full Address ______________________________________________
Country ______________________________________________
Reasons for wanting to take the T.A.L.A.M. program.
____________________________________________________________________
____________________________________________________________________
____________________________________________________________________
My phone number. ______________________________________
I do herby agree to pay a refundable deposit of $200 for my participation in the T.A.L.A.M.
program and will pay the remaining balance of $1270 By December of 2008.
I understand that should I want a refund I must ask for it in writing prior to December 1st /2008 or
my deposit becomes non refundable.
I also understand that a minimum of 25 people are needed to present this program and should that
number not be reached I will be given a full refund and the program will be cancelled. I also
understand that I can, at my discretion, transfer my application including fees paid to another
T.A.L.A.M. program in another area if I so desire.
Signed. _________________________________ Date _________________________
Money order (made out to Justis Chase) and application MUST BE SENT BY MAIL to:
Justis Chase, 104 663 Beckett Cr. Saskatoon, Saskatchewan, Canada, S7N 4W8
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