EmailMe Form - Registration: 2-day Accredited Seminar for RMTs

Name *

First Last

Please enter your name the way you would like it to appear on your course certificate.

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Seminar *

February 10th & 11th (Tue/Wed) 2015

Please ensure you select the correct date you wish to register for.

Home Phone *

### - ### - ####

Work Phone

### - ### - ####

Cell Phone

### - ### - ####

Email *

Please Confirm Email

Policy Agreement *

I have read and agree to the cancellation policy (below)

Please note our cancellation policy:
Cancel within 3 months of course = full refund
Cancel within 1 month of course = 50% refund
Cancel within 2 weeks = no refund
No shows = no refund
Your payment for a Stretch for Life course can be deferred to another course date - on one occasion only.

How did you hear about us?

Please tell us how you first heard about Stretch-for-Life Seminars.

Payment Method *

Credit Card

Paypal

Cheque or Money Order

Please select a payment method above.
(Cheques / Money orders must be received within 1 week of registering in order to guarantee your place)