Registration - The Maresh Domov - Texas Assisted Living Education

The Maresh Domov currently offers two methods of payment. Please indicate your preference by selecting either option.

Online payment through PayPal (requires a credit card online and gives immediate access). If you are one of over eight million PayPal users, the transaction is as simple as clicking their button on the following page and logging in. If you do not yet have a PayPal account, you can establish one in a few moments with your major credit/debit card. Signing up is free.

Check or Money Order (Mail in payment along with a copy of this form. Transaction ID will be emailed to you.)

Checks or money orders should be mailed to:

The Maresh Domov
P.O. Box 496
Ganado, TX 77962

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*Name (as you want it to appear on Certificate):
*Street Address:
*Address (2nd):
*City:
*State/Province:
*Zip Code:
*Home Phone:
How did you hear about us:
The Maresh Domov currently offers two methods of payment. Please indicate your preference by selecting either option. Online payment through PayPal (requires a credit card online and gives immediate access). If you are one of over eight million PayPal users, the transaction is as simple as clicking their button on the following page and logging in. If you do not yet have a PayPal account, you can establish one in a few moments with your major credit/debit card. Signing up is free. Check or Money Order (Mail in payment along with a copy of this form. Transaction ID will be emailed to you.) Checks or money orders should be mailed to: The Maresh Domov P.O. Box 496 Ganado, TX 77962

*First Name:
*Last Name:
*E-mail: