Dynamic Equilibrium E-Mail Registration

      

 

Copy and paste* the information below into the body of an e-mail, fill in, and send to weinberger@mindspring.com. Place the name of the class you are registering for in the subject line.

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Dynamic Equilibrium E-Mail Registration

 

Name:

Credentials:  Massage Therapist or Bodyworker since: 

Other profession and credentials:

Address:

            City:

State:

Zip:

 

Phone:

Day:

Evening:

Cell phone:

Other contact info:

 

Do you regularly check your e-mail?

 

Course registering for:

Course Month/Year:

 

Did you read the cancellation and refund policy? 

 

Are you sending a check?

If so, mail your check to: Nancy Toner Weinberger, 309 Oakwood Court, Youngsville, NC  27596

 

Or do you prefer to pay with a MasterCard or Visa? If so, please tell me when are some good times to reach you by phone to obtain your credit card information. DO NOT SEND CREDIT CARD INFORMATION BY E-MAIL AS YOUR INFORMATION IS NOT ENCRYPTED AND WILL NOT BE SUCURE. 

 

 

 

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*To copy and paste text, select the text you want to copy with your mouse. You will know you have selected it when the area around the text changes color. Now hold down the Control (“CTRL”) key on your keyboard and press the letter “c”. Using your mouse again, place the curser in the body of the e-mail you are writing and press “CTRL”, “v”.