The Butterfly WebSite

Spread Your Wings & Fly Seminar

Philadelphia, September 7, 2002

Reservation Form

Please print this reservation form and mail or fax as shown below.

Name: ____________________________________Phone: ______________________

Additional Names: _____________________________________________________

Address: ______________________________________________________________

City, State, Zip: _____________________________________________________

$245(US) for first attendee, $195(US) second attendee, $150(US) each additional person;
each attendee receives copy of Seminar Notes; first attendee receives copy of
Family Butterfly Book by Rick Mikula; breakfast and lunch included with registration; 
hotel room not included

____ My Check is enclosed (payable to "Jack Mikula")
____ VISA     ____ Master Card    

Card Number: ________-________-________-________      Exp Date: _______
  (charges will appear on your statement as "Matrix Graphics Corp")

Signature: ____________________________________________________________

E-Mail Address: _______________________________________________________

What are your interests in butterflies? (hobby, commercial, gardens, etc.)
 
_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

FAX: (215)-340-7695     or mail to:
The Butterfly Website
22 Charter Oak Court
Doylestown, PA 18901

If you have any questions, feel free to call us at 215-340-7692 or email us at mgfx@mgfx.com