Barbara Marciniak Sedona Seminar: March 31-April 1, 2012

 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: Barbara Marciniak’s 2012 “These Transition Times” in Sedona @ $180 each

I want ___  1-day passes for either Saturday or Sunday @ $115 each    [Circle the day you want!]

$_______ TOTAL AMOUNT, (make all checks to: "Dr Chet Snow") 

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, 2012.
For additonal details, call Dr. Chet Snow: (928) 204-1962.

Return to:  Barbara Marciniak Seminar Page

Return to:  Dr. Chet Snow's Home Page