Barbara  Marciniak Sedona Seminar: March 28-29, 2009

 Please REGISTER NOW Advance Reservations Requested.

To register, PRINT this form and either Fax it  to Dr. Chet Snow at: (928) 204-1955 or MAIL it with your check to: Dr. Chet Snow,  PO Box 1738, Sedona, AZ 86339.     Please, make all checks payable to: Dr. Chet Snow.

Name(s):___________________________________________________________________

Address:____________________________________________________________________

City/State/Zip:_______________________________________________________________

Phone: (______) ___________ __________   Fax: (______) ___________ _________

E-mail address:_______________________________________________________

I want _____  2-day passes for Barbara Marciniak’s 2009 “Path of Empowerment” workshop in Sedona @ $175 each.

I want _____  1-day passes for either Saturday or Sunday @ $110 each    [Please, circle the day you want!]

$_______ TOTAL AMOUNT, either by enclosed check or by credit card 

To secure your reservation today, print this form and fill in the Credit Card information.
Then Fax the form to: (928) 204-1955.  Check one:

Visa:________Mastercard:_________Discover:_________  [No Am Ex]

Card Number:____________   ____________   ______________   ______________

Exp. Date:___________Signature:________________________________________

ALL Credit card payments Must include your  Home Telephone Number

A $25 admistrative fee will be taken from ALL cancellations.
NO Refunds given for cancellations after March 1, 2009.
For additonal details, call Dr. Chet Snow: (928) 204-1962.

Return to:  Barbara Marciniak Seminar Page

Return to:  Dr. Chet Snow's Home Page