Synergy
in Sedona: March 7 & 8, 2009
ADVANCE
REGISTRATION FORM - Valid to Thursday, March 5 at 5 PM
PRINT and
MAIL this Form (with your check) to: Dr. Chet
Snow,
PO Box 1738
Please, make
all checks payable to: Dr. Chet
Snow.
Name(s):_______________________________________________________________________________
Address:
_______________________________________________________________________________
City/State/Zip:
_________________________________________________________________________
Phone:
(________)
___________________ Fax: (________)
__________________
E-mail
address:
________________________________________________________________________
_____
I want an
appointment for a Private Session with Synergy in
Sedona @ $60
each.
Appointments are for 1 person
only. Please send a
separate registration form per session.
All appointments are in Sedona and on either Saturday or Sunday: March
7 & 8, in the daytime.
$______
TOTAL AMOUNT, either by enclosed Check or by Credit Card
To
reserve today: print this form and fill in the Credit
Card data. Fax
the form to: (928) 204-1955.
Visa:
_____ MasterCard:
______ Discover: ______ [No Am Exp. - or
go online & pay via Pay Pal]
Card Number:
____________
____________ _____________
______________
Expiration
Date:
_______________Signature:_____________________________
ALL Registrations must include
your Phone
Number so we can contact you about Session Time & Place
The Session Times and Place will NOT be announced to the public.
No Public Viewing or Sessions.
A
$10
administrative fee will be taken from EACH
cancellation.
NO Refunds given for cancellations after February 20, 2009
For additional details, call Dr. Chet Snow: (928) 204-1962.