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Intensive Essential Oils Course Registration Form
Limited Class Size - Register early to ensure a Space
Location of Seminar Merhavia
Dates of Seminar Monday April 5, 2010 until Thursday April 8, 2010 (3 1/2 days)
Name _________________________________________________________________
Address _______________________________________________________________
City __________________________________________________________________
State/Province _________________________ Zip/Postal Code ____________________
Country _______________________________________________________________
Home Phone __________________________ Cell Phone _________________________
E-mail ________________________________________________________________
Fee US$ 320.00 Paypal email (if different from above) ___________________________
Refunds: Full refund less US$ 70 for processing for cancellations no later than March 25.
Will you be willing to bring a massage table? _______
Send Registration and Fee payable to:
Holger Grimme, ADNT Ailastrasse 28 96346 Wallenfels Germany Phone: +49 9262 974430 Email: eurostarway@t-online.de
To send this Registration form, highlight the whole text, copy it into Word and fill it completely, than attach document and e-mail it.
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