Jan 2027 Private Practice Workshop

Private Practice Workshop

January 26, 2027. 9am-12pm
Customer Details:
Full Name

First NameLast Name
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number
Format: (000) 000-0000.
E-mail
example@example.com
Payment

Choose your payment method
I will pay by

Check/Venmo
Payment by Check

Private Practice Workshop: $110.00

Please make check payable to

Nicole Wolasz
Phoenix Therapy and Wellness
337 Cleveland Drive, Suite 6
Cheektowaga, NY 14215

Please mail immediately - must be received within 7 days of registration.

Payment via Venmo: Pay to @nicole-wolasz immediately

Cancellation Policy:

No refunds after the starts of the program. There will be a $50 fee for those cancelling 7 days or fewer day prior to the start of the workshop.

Paypal/Credit Card
Cancellation Policy:

No refunds after the starts of the program. There will be a $75 fee for those cancelling 7 days or fewer day prior to the start of the workshop.
My Products
prevnext( X )
Private Practice Workshop
$110.00 Quantity

Total

$0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

Should be Empty: