WORKSHOP REGISTRATION

Workshop Title: Insight Through Tarot      Instructor: Ernest Torres

WORKSHOP INFORMATION:
Class Dates:
March 5- May 7, 2008
Time:  6:30 PM - 9:30 PM
Location:  Seeds for Change Wellness, 158 Green Street, Silverdale, PA
Cost:  $300


REGISTRATION INFORMATION: Plese Print Clearly

Name: _______________________________________________________

Address:
           _______________________________________________________

Town:  _______________________________ Zip Code: _______________

Home Phone: __________________ Cell Phone: ____________________

email address: ________________________________________________


PAYMENT REQUIRED:  
50% Depoist Due Feb 13, 2008            ($150)
Remainder Due March 12, 2008           ($150)

Enclosed: $ ______________  (Office: Date Received: ___________)

Make Your Check Payable to: Ernest Torres
Mail to:

Seeds for Change Wellness
105 Oak Drive
Sellersville, PA 18960