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REGISTRATION FORM |
I
would like to register for the following classes |
check here |
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| Address: |
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| State: Zip: |
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| Home Phone: |
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| Cell Phone |
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| Email: |
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| I have enclosed a deposit of: |
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| Check Money Order |
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| Visa MasterCard |
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| Acct. # |
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| Exp. Date |
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| Signature |
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| Please make checks payable and send to Synergy Healing Arts
Center and Massage School, 13593 Monterey Lane, Blue Ridge Summit, PA 17214 |
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