“UNLOCKING YOUR TREASURE CHEST” Workshop Sign Up Form

Please print this form, fill it out and send it to
Wellsprings Integrated Awareness®
P.O. Box 719, Georgetown, CA 95634

Name:

Address:

Phone:

Email:

Please check one:

____ 3 Days: March 5 – March 7    $300 if paid by Feb. 14

____ 3 Days: March 5 – March 7    $375 if paid after Feb. 14

____ 1 day: March 5 intro class only   $175 - Fee for 1 day intro may be applied toward the full 3 day workshop if you decide to continue.

Guests are invited to a complimentary Integrated Awareness Table Session, as part of the 3-day workshop fee.

Method of Payment:
Check   Visa    MC

CC#:                             exp:

Make checks payable to:
Wellsprings Integrated Awareness®
P.O. Box 719, Georgetown, CA 95634
530.333.4765

Cancellation Policy: 100% refund for cancellations prior to 3/1. 50% fee for cancellations after 3/1.