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More About Myophlage

REGISTRATION INFORMATION WILL BE AVAILABLE SOON.  PLEASE COME BACK!

Please print, fill out and mail with payment.

CANCELLATION POLICY:  Full refund minus $50 cancellation fee until 4 weeks prior to training.  No refunds after that time, but the tuition minus the $50 fee may be applied to any future training within 6 months. 

 TYPE OF REGISTRATION HOW MANY  TOTAL
  _____  Early Bird  ____  ____
  ____  Regular  ____  ____
 TOTAL AMOUNT ENCLOSED:    ____

Name _____________________________________

Address____________________________________

___________________________________________

Email______________________________________

Phone______________________________________

                      Method of Payment

                            ____ Check #_____

                            ____ Money Order

                            ____ Visa

                            ____ Master Card

Credit Card #_____________________________ Exp. Date ________

Signature__________________________________________________

 

Mail to:  Shrewsbury Center for Healing, 28-B Northbrook Lane, Shrewsbury, PA  17361