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Registration
Space is limited. Your registration will be confirmed when payment is received.
Name:
Address:
City:
State:
Zip:
Home Phone:
Cell Phone:
Work Phone:
Email:
Payment Amount:
Full Payment
($75.00)
Non-refundable Deposit to
guarantee your space ($30.00)
Payment Method:
Check
Please make checks payable to Debbie Miller;
mail to: Living Water Christian Counseling,
4950 S. Apopka-Vineland Road, Orlando, FL 32819
A limited number of partial scholarships are available. Call to find out more.
Refund Policy:
There is a $30 non-refundable registration fee. If you have paid your registration in full and find that you need to withdraw from the workshop, we must receive the refund request in writing no later than 7 days before the workshop. Your payment, less the $30 registration fee, will be refunded if your written request is received on or before November 1, 2008.
