Program Registration Form

Make check payable to: C.G. Jung Club of Orange County
Please print this form and mail with check to:

Registrar, C.G. Jung Club of Orange County
P.O. Box 1812
Orange, CA  92856

Winter  ~  Spring 2012
Program Events

Preregister at least one week before the event
and SAVE!

After that time fees will be higher.
Betty Smith, MA
Sunday Lecture  -  February 26th
Hephaestus:
The Shaper Suffers the Shaping
An Exploration of the Creative Life

Preregistration Fees
members:$10
non-members:$20
Mail check and this form by February 17th 		Basic Jung Series
March 18th, March 25th & April 1st
with Shirley Eisman,
Barbara Blatt & Diana LaCom,
and Marion Anderson

Preregistration Fees
members:$50
non-members:$70
Mail check and this form by March 9th
37th Annual Jungian Conference
Saturday Conference  -  May 5th
with Charles Garfield, PhD
The Soul Aroused at the End of Life:
Embracing Life's Final Mystery

Preregistration Fees
members:$70
non-members:$90
Mail check and this form by April 27th 		Mala Setty, MA
Sunday Lecture  -  June 3rd
The Self-Archetype
in Hindu Tradition

Preregistration Fees
members:$10
non-members:$20
Mail check and this form by May 25th

Membership

Individual - Yearly Dues $25

Couple - Yearly Dues $40

Dream Circle - Yearly Dues $75

Alchemy Circle - Yearly Dues $200
(includes free admission to all events for one year)

Lifetime Benefactor - One time payment $2000
(includes free admission for you and a guest to all events for life)

Contribution to the Club Library/Newsletter  $

New Member     Renewal     Check if change of address
Do not share my:    Street address    E-mail address   (please read before you decide: click here)
         Name:
      Address:
  City, State:
          Zip: Amount Enclosed:
   Home Phone: Alternate Phone:
Email Address:

Thank you for your support!

 

[Registration Information]        [Calendar]        [Home]