MIDWEST SCHOOL OF STONE MASSAGE THERAPY

APPLICATION FORM

NAME ..................................................

ADDRESS ..............................................

CONTACT NUMBER ....................................


COURSE DATES:       August 7th and 8th, 2010      
                             
                               

COST OF COURSE:     $550.00

Non-refundable deposit of $150.00 paid by

Money Order/ Cash / Bank Deposit
 

Reference for Bank Deposit transaction......................................

Receipt required before course day  YES/NO

SIGNED ..............................................

DATE ................................................


For the CLASS held in August the DEPOSIT is NON-REFUNDABLE after the 30th July, 2010.


YOU CAN ONLY TRANSFER FROM ONE CLASS WEEKEND TO ANOTHER, ONLY IF AVAILABILITY ALLOWS AND THIS HAS TO BE DONE BEFORE THE NON-REFUNDABLE DATE HAS ARRIVED.


THANKYOU

Dian Mahoney
TEACHER

ABN  2915 708 1176

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