Getting the Love You Want Registration Print Version

Print Version Registration
for Getting the Love You Want Workshops

Register Early! Space is limited. Hold your place with a deposit.
This is a printer friendly page without the side menu of links to our site.
Click here to go back to workshop schedule. Click here to return to Home Page.

Workshop Date (REQUIRED):

About YOU

Please Complete ALL Requested Information INCLUDING the DATE in the pull-down menu above. Otherwise we don't which workshop you want to attend.

Your First Name:

Your Last Name:

E-Mail Address:

Mailing Address:

City:

State:

Zip:

Daytime Phone:

Evening Phone:

About YOUR PARTNER

Partner First&Last Name:

Partner E-Mail:

Partner Mailing Address:

Partner City:

Partner State:

Partner Zip:

Partner Phone:

Please let us know if we can thank someone for recommending us to you:

Referring Person's Name:

Payment & Cancellation Policy Agreement

Fee: The fee for the workshop is $345 per person, $690 per couple. A $200 deposit is required to hold your reservation.
The fee includes the workshop itself, your workbook, a mid-morning snack each day, and a substantial cheese, cracker and fruit break Saturday evening. Lunches, dinners, and hotel accommodations are not provided. Hotel information will be made available to workshop participants.

(Required)
By typing your name in the box, you affirm that you have read and accept the terms of our Cancellation Policy.
Cancellation Policy: If the workshop is cancelled by the presenter, a full refund will be made. If you cancel eight days or more prior to the start date of the workshop, your fee will be refunded less a $100 administration fee.
No refund will be made if. a) you cancel seven days or less prior to the workshop, b) you do not attend, c) you do not complete the workshop.

Comments or Questions

Please print out and mail your completed registration form with your payment to:

Make Checks Payable to: Maya Kollman
209 Blackwell Road
Pennington, NJ 08534

Important Workshop Information:
Workshop Schedule:
Friday: 7:00 prn - 10:00 pm
Saturday: 8:30 am - 8:00 pm.
Sunday: 8:30 am - 7:00 pm

FOR ALL WORKSHOP INFORMATION CALL OR E-MAIL:
Barbara Bingham
at 609-737-3023 or 800-603-0722

Travel Information

Hotel for Getting the Love You Want Workshops:

Workshop Date (REQUIRED):
About YOU
	Please Complete ALL Requested Information INCLUDING the DATE in the pull-down menu above. Otherwise we don't which workshop you want to attend.
Your First Name:
Your Last Name:
E-Mail Address:
Mailing Address:
City:
State:
Zip:
Daytime Phone:
Evening Phone:
About YOUR PARTNER
Partner First&Last Name:
Partner E-Mail:
Partner Mailing Address:
Partner City:
Partner State:
Partner Zip:
Partner Phone:
Please let us know if we can thank someone for recommending us to you:
Referring Person's Name:
Payment & Cancellation Policy Agreement
Fee: The fee for the workshop is $345 per person, $690 per couple. A $200 deposit is required to hold your reservation. The fee includes the workshop itself, your workbook, a mid-morning snack each day, and a substantial cheese, cracker and fruit break Saturday evening. Lunches, dinners, and hotel accommodations are not provided. Hotel information will be made available to workshop participants.
(Required) By typing your name in the box, you affirm that you have read and accept the terms of our Cancellation Policy. Cancellation Policy: If the workshop is cancelled by the presenter, a full refund will be made. If you cancel eight days or more prior to the start date of the workshop, your fee will be refunded less a $100 administration fee. No refund will be made if. a) you cancel seven days or less prior to the workshop, b) you do not attend, c) you do not complete the workshop.
Comments or Questions
Please print out and mail your completed registration form with your payment to: Make Checks Payable to: Maya Kollman 209 Blackwell Road Pennington, NJ 08534