meditation classes registration form

Name:______________________________________ Phone: ( )_________________________

Address:______________________________________________________Zip_____________

E-mail: _____________________________________________ Date:_____________________

Full Series: ____$75 (regular rate) or $65 (AYS member rate)

Workshop only:  ____$45

3 Evening classes only: ____$45

To register: Please sign & mail this registration form to Dori at: 4612 So. Schafer Branch Rd, Spokane, WA 99206
with a check payable to Dori Langevin or a copy of your PayPal receipt.
Refunds will be made if Dori is notified by phone by April 14.  No refunds after April 14.

By registering,  I understand and accept the payment and refund policy.

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Signature                                                                                                           Date