NAME:

ENROLLED BY:

ENROLLMENT CARD FOR :

1 YEAR MEMBERSHIP ($10.00)

PERPETUAL ENROLLMENT ($25.00)

TO BE

PICKED UP

MAILED TO:

ADDRESS:

TO BE PAID BY

PLEASE PRINT THIS FORM AND MAIL IT TO THE MONASTERY AT 5714 HOLLADAY BLVD, SALT LAKE CITY, UT 8412. THANK YOU