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Registration Form

To pay by credit card, please use the form below.
Click here to print out the Registration form.
Registration fee is non-refundable. It is transferable to another certification date. Should there be ANY reason you cannot attend a certification date you have already registered for, you have 18 months to transfer to another workshop location.

The Pink Ribbon Program has the right to cancel a workshop due to low enrollment. Should this happen, Registration Fees WILL be reimbursed.

Workshop $425, Course Materials $35 plus shipping $7.95

Workshop City:
Workshop State:
Workshop Date: (mm/dd/yyyy)
Participant Name:
Participant Email:
Participant Telephone:
Please tell us about yourself:

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