Sioux Falls Therapeutic Massage & Education Ctr
Register for Advanced Muscular Therapy Seminars Instructor: Don Spade – Certificate 8 CEU's
Advance Registraion & Deposit -Save your Space --Registration day of seminar if space available
Total cost Advance Deposit Balance Due
$135.00 $15.00 (non-refundable) $120.00
Name __________________________________________
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Phone ________________ Email _____________________
Location (City)_____________________________________
Seminar Date/Title _________________________________
Payment type: Cash____ Check____ Credit/Debit Card_____
Circle one: if credit/debit card VISA MC DISCOVER Card#_______________________________Expires______
Billing Address (if different from above) _________________________________________________
Signature & Date Signed _________________________________________
Send Registration & Payment to:
By Mail: Sioux Falls Therapeutic Massage & Education Center
4201 S. Oxbow Ave. Sioux Falls, SD 57106
By Email: Do not include credit card information with email donspade@siouxfallsmassage.net
By Fax: 605-328-1622
By Phone: 605-328-1622
