Midwest School of Herbal Studies

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Message BoardHerbal Clinic

 

Students, Please Join Us for An Informative Workshop on

HOLISTIC ASSESSMENT SKILLS

on

Sunday, April 29th, 2018  

1:20 - 5:20 PM

$50 (only $45 if paid by Sat., April 21st)

The Theme for this Worskshop Is:

Iris Analysis & Scleral Interpretation

REGISTRATION FORM

(Open to Registered Students of the Midwest School of Herbal Studies Only)

Student Name:...........................................................  Student I.D. #..............................

Email Address ...................................................................................................................

Phone Number .................................................................................................................

Day & Hours:  Sunday, April 29th, 2018, 1:20 to 5:20 PM

Total Cost: $50.00     Payment Enclosed:  (Check)......(M.O.) .....(C.C) .....

(Only $45 early-bird fee if paid by April 21st)

Make checks or MO's Payable to "Midwest School of Herbal Studies"

If paying by Credit Card, you must supply all of the following information in order for us to process.  Note: Will clear as “Midwest Herbs & Healing.”

Credit Card Number.......................................................................................................................Expir. Date.............

CDC Code (last group of 3- or 4 digits in series of numbers on reverse of card near signature strip) ........................................

Digits of Mailing Address to which Credit Card Bill goes to:.................................................................................

Zip Code of same address...........................  Telephone Number   (          )..............................................................

Fax this form to the School at 651-484-0426 or snail-mail it to us at P O Box 120096, New Brighton MN 55112