Merete Holm Brantbjerg

Workshop Registration Form

Please register me for the workshop

Muscle Intelligence - Coping and Resonance
March 26, 27, 28, 2010
Vancouver School of Theology, 6000 Iona Drive, UBC campus,

Name:

Address:

Telephone(s):

Email:

Profession/Clinical Orientation:

Please send this form with your cheque made payable to Merete Holm Brantbjerg to:
Barbara Picton
671 F Market Hill,
Vancouver, BC, V5Z 4B5
Fee is $450 post marked on or before February 12, 2010 and $475 following.

Registration Policy:
Registration is confirmed only when you have received your receipt by mail or e-mail.
If you have not had confirmation within 2 weeks of mailing your cheque please contact
barbara@barbarapicton.com or call 604.838.6048.

Cancellation and Refund Policy:
Cancellations are only accepted in writing - letter or e-mail.
Cancellations received by February 26, 2010 qualify for a refund minus a $25 administration fee.

Further information regarding this workshop will be sent by e-mail only.