Finding Freedom: Healing Weekend Retreat Registration Form

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Date: Friday, March 20 - Sunday, March 22, 2009.

Location: Xavier Retreat Center / 23 Convent Rd / Morristown, NJ 07960


Your Name: _____________________________________________________________________

Please enter the names of any friends or family members you may be registering:


Participant 2: _________________________________________________________________


Participant 3: _________________________________________________________________


Street Address: ________________________________________________________________


City: ____________________________________ State: _________ Zip:________________


Daytime Telephone: _____________________________________________________________


Visa/MasterCard #: _____________________________________________________________


Expiration Date: _______________________________________________________________


Fee: $385 for first-time participants; $345 for returning participants, friends 
and family of returning participants, and patients of Dr. Lu; $20 discount for 
couples.


Total Amount: $_________________________________________________________________


Signature: _____________________________________________________________________

If paying by check or money order, please make payable to "TCM World Foundation."

The deadline for registration is March 10, 2009. Your registration fee is fully 
refundable until March 10, 2009. Mail form to:

TCM World Foundation
34 West 27 Street, Suite 1212
New York, NY 10001

If you have questions, please call Elaine Katen or Irma Jenne at (212) 274-1079.