Yes!
I would like to register myself and 1 other for the
Deepening Connections
Creating a Core Shift
In The Way We live our Relationships
with Miriam Dyak and Cassandra Cosme,
Three Workshops in 2008:
March 29-30
June 7-8
October 18-19
Saturday 10am - 5:00pm & Sunday, 10am - 4:30pm
Redmond, Washington (Seattle area)
(Registration limited to 20 people.)
This is not a secure method of information transfer.
You have a choice - submit online and call in your credit card information,
or mail in a check, or print this form and mail it in to us via regular mail.
Please call us at 425-753-2490 if would like to register,
or give us your credit card number over the phone.
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Name
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Street Address
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City
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Postal Code
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Best Ph# to reach you
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Your e-mail
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Yes!
I am registering for Deepening Connections for myself and 1 other
March 29-30, 2008
Cost: $370 including lunch for two people ($185 per person)
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Yes!
I am registering for Deepening Connections for myself and 1 other
June 7-8, 2008
Cost: $370 including lunch for two people ($185 per person)
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Yes!
I am registering for Deepening Connections for myself and 1 other
October 18-19, 2008
Cost: $370 including lunch for two people ($185 per person)
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I am enclosing a check in the amount of:
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I need CEC's
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Please charge my credit card (VISA/MC) #
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Amount
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Expires
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Name on Card
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Today's Date
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Please tell us how you learned about this workshop
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Please tell us something about your work and any prior experience with Voice Dialogue.
* Because of our rising costs and the losses we incur when participants drop out, we will no longer be able to refund deposits. Your deposit can be moved to a future training minus a $35 processing fee IF you are able to find another person to take your place in the current training or if there is a waiting list for the class. Please call 206-932-1151 if you have any questions.
** CEC’s are an additional fee payable to AHP at the end of the training.
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Below is for data of 2nd person
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Name
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Street Address
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City
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Postal Code
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Best Ph# to reach 2nd person
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e-mail of 2nd person
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After filling out this form you may submit it electronically (select Submit button below),
or print it and mail it to The Voice Dialogue Institute,
704 228th Avenue NE #833 Sammamish, WA 98074
To keep your credit card protected, please call in your credit card number
if you submit your registration electronically.
Or, print this form and mail it in with either your check or credit card information.
THANKS FOR YOUR REGISTRATION.
QUESTIONS? Call us at 425-753-2490 or
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