Level 3:Traditional Thai Registration

Form Master

Level 3: Traditional Thai Class Registration Form

Date of Level 2:Traditional Thai Training*
First Name*	Last Name*
Your Name as you would like it to appear on Certificates/Diplomas. Please include any designations (RMT,CMT,LMT...)*
Phone Number*	Email Address*
I prefer to be contacted by* EmailPhoneEither
Mailing Address for certificate/diploma*	City*
State*	Zip Code
Deposit $100 deposit to secure your place. This $100 is included in the full $500 payment. There are no deadlines for registration as this is a self-paced course that begins anytime after the participant has turned in all homework assignments from Level 1 and 2 and who has paid a $100 deposit. Payment is due in full when the participant starts the first, private case study session. Deposits are non-refundable, but they are transferable to another training within one year, so the deposit expires for use after one-year of canceling your placement in the course. When buying airfare, we suggest using Southwest airlines when ever possible as they do no have a penalty for changing reservations. Please Send check or money orders to: Symmetry Therapeutic Massage Spa 2416 W 32nd Ave Denver, Colorado 80211
Tuition* Deposit ($100) Full Tuition - Level 3 ($500)	Payment Method* Mail CheckCredit Card (PayPal) Mail Money OrderCredit Card (Phone)
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