Registration Form

Camelot Ltd. P.O. Box 673206, Marietta, Georgia 30006-0036 Registration Form If you have already completed the Registration form, you don't need to complete another unless you are sending a payment by postal means. If you wish additional lessons, please scroll down and choose the appropriate selection. If this is your first registration, please print this out, enclose with your questionnaire and course payment. Or click on the appropriate buttons below to pay by credit card. BUT send this form in whether you pay by money order or credit card. Cash will not be accepted. By filling this form out and signing you are agreeing to the below terms. Terms: I request acceptance as a student into the ancient Tradition of Y Dynion Mwyn. I promise and guarantee to keep all reading material, lessons and supplemental materials confidential including the names of any members. I understand and agree to hold the Y Dynion Mwyn harmless if I incur any problems during my study. I promise and guarantee that I will meet my commitments and that I am serious about my studies of the Craft of Witchcraft with the Church of Y Dynion Mwyn. I further understand that my lessons will be made available to me through e-mail. Each time I donate the suggested amount for a set of three lessons, I will be sent an e-mail with the lesson documents attached. I give my word that I will not give or sell any material received by me through this process to any person. If I pay the full amount, I will still only receive 4 lessons at a time. When I complete the first four and send in the answers to the exams, I will receive the next 4 lessons and so on. NAME (please print) ___________________________________________________ STREET____________________________________________________________ CITY_____________________________ STATE___________ ZIP______________ E-MAIL ADDRESS ____________________________________________________ BIRTH DATE_______________ TELEPHONE________________________ SIGNATURE___________________________________________________________ PAYMENT METHOD PLEASE INDICATE HOW YOU ARE DONATING FOR YOUR LESSONS. ALL PROCEEDS ARE DONATED TO CHURCH OF Y DYNION MWYN. (WE ACCEPT CREDIT CARDS THRU PAYPAL OR MONEY ORDERS)
$________	Solitary Student - Donate As You Go - Enclose $35.95 for registration, lesson one and supplemental reading - total of $35.95 Each succeeding lesson (2-13) including supplements, will be $23.95 each. If you wish to use a Credit card click on the button to the right. Upon successful completion of the course, each Student will receive a Certificate of Completion and discounts. Send in this reg form and the questionaire.
$________	Solitary Student - Lesson 2 - 4, 5-7, 8-10, 11-13 (Save By donating for three at a time!) Enclose $54.95 for the next set of three lessons and supplemental reading - Total of $54.95 Donation is due in advance for each succeeding set of three lessons. If you wish to use a Credit card click on the button to the right. Upon successful completion of the course, each Student will receive a Certificate of Completion and discounts. Send in this reg form and the questionaire.
$________	Solitary Student - Donation in full: enclose the discounted amount of $185.00 - If you wish to use a credit card, click on the button to the right. Upon successful completion of the course, each Student will receive a Certificate of Completion and discounts. Send in this reg form and the questionaire.
$________	Couple Students - Donate as you go. Enclose $57.90 for registration, the first lesson and supplemental documents - total of $57.90. Each succeeding lesson (2-13) including supplements, will be $37.95 each. .If you wish to use a Credit card click on the button to the right. Upon successful completion of the course, each Student will receive a Certificate of Completion and discounts. Send in this reg form and the questionaire.
$________	Couple Students - Lesson 2 - 4, 5-7, 8-10, 11-13 (Save By donating for three at a time!) Enclose $81.00 for the next set of three lessons and supplemental reading - Total of $81.00 Donation is due in advance for each succeeding set of three lessons. If you wish to use a Credit card click on the button to the right. Upon successful completion of the course, each Student will receive a Certificate of Completion and discounts. Send in this reg form and the questionaire.
$________	Couple Students - Donation in full: enclose the discounted amount of $267.00 - If you wish to use a credit card, click on the button to the right. Upon successful completion of the course, each Student will receive a Certificate of Completion and discounts. Send in this reg form and the questionaire.
$________	Shipping Charges - For Postal Students add $13 per set of three lessons. All Postal lessons will be sent priority mail. Those students who receive their materials through e-mail, do not have to pay shipping charges.
$________	Total Donation. If paying by Postal Mail Please send a money order for the total, made out to Camelot Press to P.O. Box 673206, Marietta, GA 30006-0036