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Enroll at the Church Meeting or mail this application direct to the offices of the church.

                                                                                Visa & Mastercard Accepted
Name: _________________________________   Card Types   [  ] VISA      [  ] MasterCard

Address: _______________________________   Card No.________________________________

City:__________________ State: ___________  Expiration Date: __________________________

Zip: ___________ Telephone: ______________   Signature: _______________________________

CLASS: (    )  Evening    (   )  Afternoon     Tuition:  $100     Review:  $80   Single Admission: $20

 Mail to: FIRST CHURCH OF RELIGIOUS SCIENCE     14 East 48th Street - New York, NY  10017