Living in Balance Courses

What stress is (technically speaking)
Courses
About Stress Management Courses
About Our Courses
Techniques We Use
Stress Management I: “Breaking the chains”
Stress Management II: “Living in Balance”
Stress Releasing Program (post-Course)
Registration Form
Living in Balance Courses
Registration Form

Name:

 

Profession:

 

Phone number:

 

Email:

 

Course:

 
Starting Date:  
     

In a few words please tell us why you are taking this course:

  
     

Credit Card Information

I, , hereby authorize ANANDA MIAMI

  (cardholder’s name as it appears on card)  
to charge my credit card in the amount of $
Type of Credit Card:

Credit Card # Expiration Date: 

Code #   (a 3 digit number on the back of your card after the last digits of your account)
Date      
Address:
             (this address must be the billing address for the credit card holder)  
City          
State        
Zip           

I understand and agree to these terms and expressly waive any rights to credit card charge backs as a means to mediate disputes.

 
                 
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