Registration MTSHFBC workshop

Bodywork Wisdom

Registration MTSHFBC workshop - Chicago

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NCBTMB Approved Provider #451008-09

Registration information
Please read carefully:

Date: Fri- Sat June 11,12 9am-6pm
Sun, June 13 9am-5pm
23 Continuing Education Hours

Location:
School Of Holistic Massage Arts and Reflexology
515 Ogden Ave. Suite 300
Downers Grove, Illinois
(Only 25 minutes from Downtown Chicago)

Cost: Early bird $380.00 if registered before May 15th
A non refundable deposit* of $75.00 is required by a check in the mail or by Credit card.
Remainder payment is required by May 25th
After May 15th a full payment of $400.00 is required.

Note: payment by credit card is available online only!

Please make payment to: Eeris Kallil CMT

Send payment to:
Eeris Kallil
737 29th Street Ste 200
Boulder, CO 80303
Please include a copy of this registration form

Cancellation:
30-14 days prior: If paid in full- a full refund minus non refundable deposit
14-7 days prior: If paid in full- 70% will be refunded minus NR deposit
6-4 days prior: 50% minus NR deposit
3-1 days prior: no refund will be offered.

Class cancellation:
If the class is cancelled by the instructor- students can choose to receive a full refund including the deposit or a credit for the next course.

*If cancellation is more than 30 days prior to the workshop date deposit will be fully refunded

Please fill out the form bellow and submit.

Registration form
MTSHFBC Chicago June 11,12,13 2010
Please fill and submit the form below
To print a copy of this form, first press "print this" at the end of the form, fill in the form, print it and then press submit.
If you do not get a confirmation email or call within 72 hours, please contact me at 303-775- 8005 or email: eeriskallil@aol.com

Full Name:

* required

Home phone:

Mobile phone:

Business phone:

Mailing address:

Email:

* required

Best way to contact you:

By email

By home phone

By mobile

By business phone

Massage Education

Massage institute attended:

* required

Are you a graduate or a student?

Graduation year (if not a student):

Total of program hours completed:

* required

Do you have any questions?

How did you hear about this workshop?

Payment Information

Choose your payment option:

Refer A Friend

Do you know of someone I should contact about this workshop?
please include their name and email address. Thank you!

When you send a check in the mail please print this form and include it with your payment.

BUDDY DISCOUNT: Refer a friend and each of you will get $20 off. Please contact me for payment arrangements 303 775 8005 or email: eeriskallil@aol.com

Online payment options:

Massage Therapy Supports Healing from Breast Cacner: $380 Full Payment (if paid by May 15th, 2010)

MTSHFBC- $75 deposit

MTSHFBC final payment $305 (Payment remainder. Paid by May 25th 2010)

$400 Full payment after May 15th