Registration Generic

	PART ONE This is a two part registration process. Please fill out the form below completely and click on the 'submit' button. If your registration is submitted successfully, you will be directed to PART TWO which is the payment form. Payment is handled by PayPal although you do not need to be a PayPal member. You may use either a credit card or, if you are a member, a PayPal payment. If you wish, you may send a check along with the information requested below. Your place in the workshop(s) cannot be guaranteed until we have received your non-refundable deposit or full payment. For address and refund policy, please see below.


	Full Name


	Address

	City, State, Zip, Country


	Email address


		The Deep River Within: Naugatuck, CT , July 9, 2011 $110 (Full refund less $25 if notified by July 1)


	Profession (for facilitator training only)


	How did you hear about Abby &/or the workshops?


	Comments

If you wish to send a check with the above information, please make it out to Abby Seixas and send it to: 16 Gowell Lane, Weston, MA 02493.

Refund policy: If you have paid the full amount for a workshop and are unable to attend, you may get a refund minus the non-refundable deposit if you notify us by July 1, 2011.