Registration Form
Asheville, NC // Dec 12-13, 2024
Name
*
First Name
Last Name
Email
*
example@example.com
Phone Number
Please enter a valid phone number.
Where are you from or currently living?
What is your occupation?
What is your optimal wish and inspiration for taking this course?
Are you a Licensed Massage Therpaist:
Yes
No
If you are a LMT, please provide your license number.
Signature
*
Payment
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Course Tuition
$
369.00
Deposit
Claim your Spot // Non-refundable
$
115.00
Tuition Balance
$
254.00
WNC RESIDENCE
Sliding Scale Option Click Here
$
Free
Quantity
1
2
3
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7
8
9
10
Credit Card Details
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Last Name
Credit Card Number
Security Code
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