Registration for Modules 1 & 2 and Access
BodyTalk Seminar
Registration Form
Modules 1 & 2
$1200.00 ($600.00 ea)
Access
$150.00
Class Location:
 Dates
New Student
 Monitor
CEU's for:
Student Information
Name:
Address:
State:
Zip:
City:
Phone:
Email:
Payment Information-PleasePrint Clearly
Method of Payment:  
Check
Visa/Mastercard
Cash
Name:
Address:
State:
City:
Zip:
Phone
:
Code
3 digits
Card No.
Authorized Amount
Expiration
:
Make Checks payable to Lisa K. Morris
Mail to:  Pathways to Wellness
1920 Lernhart Street, Ste. A
Napa, CA  94559
1.  IBA Members monitoring the class pay 25% of new student price.
2.  $200.00 USD deposit is required to hold your space in Modules 1 & 2.
3.  Access students, please pay at the time of registration.
4.  Deposit is refundable for cancellations received 1 week prior to seminar date.
5.  Late Cancellations:  deposit may be applied to any future seminar by same instructor.
6.  Please contact local coordinator for exact seminar location and lodging suggestions.
7.  All personal information will remain private and confidential to the instructor
Lisa K. Morris, CBI, Adv. CBP
Pathways to Wellness
1920 Lernhart Street, Ste A
Napa, CA  94559
707-294-2331