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ON THE COMMON GROUND'S
TWENTIETH ANNUAL "VILLAGE OF BROTHERS" FALL RETREAT

Please Enroll Me For On The Common Ground's Nineteenth Annual Fall Retreat October 19, 20, 21 2012. Full Donation: $170. 50% ($85) Deposit required with registration. Please make checks payable to ON THE COMMON GROUND.

Name: 
   
Address: 
   
City/State/Zip: 
   
Phone: 
   
E-mail: 
   
Amount Enclosed: 
Full Amount ($170)
   
$85 Deposit (Balance due at door)
   
   
Signature:
_____________________________

 

Print out this form and mail to:

On The Common Ground
c/o John Guarnaschelli
853 Seventh Ave. #5D
New York, NY 10019

For information call (212) 265 0584 or e-mail johnguarn@onthecommonground.org


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