Dance Therapy Seminar Sunday August 19, 2007 Registration | |
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Any questions? Phone 401-952-2423 Email dreasdream@aol.com Donate Online |
Print out this form and mail with check (made out to the Andrea Rizzo Foundation) to: The Andrea Rizzo Foundation 10 East Beach Road #2 Charlestown, RI 02813 |
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NAME: _________________________________________ PHONE: ________________________________________ EMAIL: _____________________________ MAILING ADDRESS: Street (Please include street number or PO): _________________________________________________ City: ________________________ State: ______________ Zip: ___________ AFFILIATION: _______________________________________ REGISTRATION FEE - $30.00 per person I will attend the 1pm dance therapy seminar. Enclosed is my $30.00 Registration Fee The Foundation has applied for CEU's and PDP's for the seminar There may be a charge for CEU's Are you interested? Yes_____ No_____ | |