MONROE INSTITUTE OF APPLIED SCIENCES SCHEDULE OF ACTIVITIES 1981- REGISTRATION FORM

Approved For Rt~N~C1E IN00~3,/09~~':~F~ppDPED SC IBNRE51700210044-4 Route 1, Box 175 Faber, VA 22938 NAME(S) ADDRESS_ .PLEASE REGISTER ME FOR THE FOLLOWING PROGRAP9(S): [ ] GATEWAY: VOYAGE ..........................Date: [~ ] GATEWAY: DISCOVERY .......................Date: {_~] FOCUS 12 CLUB ............................Date:------ - [ u] WORKSHOP: MICHE`~EL BROWN .................Date:-_-_- _a [~] DREAM WORKSHOP: ROBERT VAN DE CASTLE.....Date;! ~~ I AM ENCLOSING A DEPOSIT OF $75.00 FOR THE WEEKE...