Spinal Raindrop Therapy Registration Form.
October 19,20 2019
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.
Please bring your table, sheets, a bolster, and whatever cream you prefer.
Class minimum 6, maximum, 16.
Dates TBA 14 hours $299 _______
Payment options:
1) Preferred method of payment: Check.
Make Check payable to Massage At Monroe and mail to:
Massage At Monroe, 2325 Hanover Dr, Monroe NC 28110.
2) 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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