Midwest School of Herbal Studies

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Message BoardHerbal Clinic

 

2nd Holistic-Assessment Skills Workshop for 2017

Sunday, April 23rd, 2017

1:20 to 5:20 PM

Students, Join Us for 4 Fun-filled Hours of Lectures, Demos, and Practice Sessions

of Holistic-Assessment Skills in New Brighton MN!

You must be a registered MWSHS student in order to sign up for this workshop.

 

REGISTRATION FORM

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

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

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

Day & Hours:  Sunday, Apr. 23rd, 1:20 to 5:20 PM

Cost: $50.00 ($40 if paid by Apr. 15th)     Payment Enclosed:  (Check)...... (M.O.) ..... (C.C).....

Make Checks 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