Massage At Monroe
Pain & Stress Management & Rehabilitation Services
101 THINGS TO DO ON THE CHAIR

101 Things to do on the Chair.

Registration Form.

April 1,2   2017  

May 6,7   2017  

 

Massage At Monroe , Monroe, NC 28110 704 221 5872

 

Name: __________________________Title:___________ License # ________

Street: ______________________________________City: _______________

State: _________Zip: ______________ Email: _________________________

Phones: (W) ____________________________(C)_______________________

Class starts at 8am sharp, Lunch is on your own at 1pm for 1 hour... we're done at 5:00p m.

Class minimum 6, maximum, 16.

April 1,2 2017               14 hours       $299 _______

May 6,7 2017               14 hours       $299 _______

 

Payment options:

1)   Online payments

2)  Preferred method of payment: Check.

     Make Check payable to Massage At Monroe and mail to:

     Massage At Monroe, 2325 Hanover Dr, Monroe NC 28110.

3)  Credit Card # _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ Exp _ _ / _ _ 3 digit code on reverse _ _

_________________________________________________________

Signature (I agree to Grand Total charges above) Fax to 704 282 4683

For any additional questions or registration by phone please call Carmen at 704 221 5872.

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