• REGISTRATION INFORMATION  * are required

*Name:           

*Street:          

*City:              

*Prov/State:    

*Postal Code:  

*Home Phone: 

 Work Phone:  

 Cell Phone:    

*Email:             

*Confirm Email

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Please register for the following:
(hint: cut and paste one of the options into box below)

May 14-16, 2010 Edmonton, AB

June 11-13, 2010 Albany, NY

Oct 8-10, 2010 Sedro Wooly, WA

Oct 22-24, 2010 Burlington, VT

Nov 1-3, 2010 California

 

I am registering for:

Please tell us how you learned of this event:

- If a friend referred you, please tell us who
- Internet search
- Vividly Woman Newsletter
- If at another event, please tell us where
- If other, please tell us where

I heard of this event from:

Include any other Message here.

Your Message:

                          

 

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• MAKE YOUR PAYMENT SECURELY WITH PAYPAL

  I am paying $825.00 USD

Workshop Dates

Edmonton, AB May 14-16/10 $825.00 Albany, NY June 11-13/10 $825.00 Sedro Wooly, WA Oct 8-10/10 $825.00 Burlington VT Oct 22-24/10 $825.00 California, Nov 1-3/10 $825.00

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