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LIFE/Elderhostel

Registration Form

Name:__________________________Mail to:   L.I.F.E./PLU

                                                             2504 92nd St.

                                                             Tacoma, WA 98445

Phone #:____________  e-mail: ________________             

I wish to register for the following L.I.F.E. classes for Fall Term 2009.

If two people are registering place the number in the check box and figure class and membership fees accordingly.

Check         Class                                Date       Class Fee    Enclosing

( ) Donald Ryan  Valley of the Kings     Sept 11 & 18   

                                                                both classes    $15 _______

        Take One class:  September ______                     $10  _______

( ) Amy Putnam    Array of Percussions         Sept. 22  $10 _______

( ) Bill Catton       Bottleneck                            Oct. 14 $10 _______

( ) Jason Edwards  Mr. Everest Challenges    Oct. 22  $10 _______

( ) Dr. Don Mott   China & Children's Therapy Nov.9 $10_______

( ) Karen Haas    1776 Colonists                    Nov. 11  $10  _______

( ) Sid Olufs         U. S. Supreme Court              Dec. 4 $10  _______

( ) Japanese Culture Series 

       Complete series all classes w/ Bus                         $85 _______

( ) Bus to Wing Luke Museum Oct.1 (9:00am)               $30_______

( ) Book binding (am)                                Oct. 2           $20  ______

( ) Making personal chop (pm)                 Oct. 2           $20  ______

( ) Ikebana, Tea, Origami (am)                  Oct. 9           $10  ______

( ) Japanese Music and Dance (pm)          Oct. 9           $10  ______

( ) Japanese Martial Arts                            Oct. 16        $10  ______


( ) LIFE Yule Event /Potluck-Brookdale Greens Dec. 6   You'll be called re/ Potluck

                               Class Fee Total ............................  $___________

( ) L.I.F.E. Membership Fee/Fall Term-

                                           $ 5.00  per person............  $___________

                                   TOTAL ENCLOSED.....................  $___________

Make Checks Payable to PLU/LIFE and mail to address listed above.

If you signed-up for all the fee classes please deduct $10 from your Class Fee Total.