Registration

Name*

First Last

Email*

Mobile Phone*

Work Phone

Company Name

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Number of people attending*

Workshop*

Workshop Cancellation Policy
All workshop registration fees & class fees are non-refundable. If cancellation of registration or class occurs, a credit in the amount of the registration fee (less a $500 fee and any room costs) will be given for future workshop participations. This credit is good for a period of 2 months from the date of cancellation. After 2 months there is no refund or credit. There is no credit for cancellations that occur 7 days or less before the first day of the workshop.

Price*

Credit Card*

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

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