Registration Form
Donna Messina, CHHC, CMF, STP
14 Nason Street Suite 204
Maynard, MA 01754
(978)394-4360
heavenlycomforts@charter.net
Name of class: ______________________________________________
Date of class: ______________________________________________
Your Name: ______________________________________________
Address: ______________________________________________
Phone #’s: Home: _______________ Work: _____________
Cell: _______________
e-Mail: ______________________________________________
Cost of class: _____________________
Payment Method: Cash Check #______________
*You are not considered registered unless I have received your payment.
*Refunds are only issued if you cancel your reservation 24 hours prior to the class.
NO EXCEPTIONS
If class does not populate within 48 hours of class it will be cancelled so please register early! Refunds will be issued if I cancel the class and only those registered will be notified of cancellation.
Print and mail your registration form and check to the address above. Thank you.