People's Medicine Workshop Series Registration
Complete form below to signup for the workshop.
Name
*
First Name
Last Name
Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Which class(es) will you be attending?
June 30 ($30-60 sliding scale)
August 4 ($30-60 sliding scale)
September 29 ($30-60 sliding scale)
October 6 ($30-60 sliding scale)
All 4 classes ($115)
June 30
August 4
September 29
October 6
Payment Total
How much will you be paying in total?
prev
next
( X )
USD
Please add up your total amount based on your class choices selected above.
Complete Registration
After clicking "Submit," you will be re-directed to PayPal to complete your submission. Thank you!
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