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.

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