Please register using the following form. Name* First Last Email* Phone*Address Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Choose Workshop Dates*Workshop cost is $400, includes materials and shipping fee. Workshops will be held from 1:00pm-5:30pm ETChoose Workshop DatesOctober 4th, 11th, 18th, 25th, 2020Coupon Payment and Cancellation Policy* Payment Policy: If paying by credit card, your payment is due upon registration. If paying by check, payment is due 7 days after registration. If the class is less than 2 weeks away and you are not paying by credit card, contact us. **Cancellation Policy: 50% of your workshop fee is refundable for cancellation 6 weeks prior to workshop start date, otherwise no refunds will be given. If Center for End of Life Transitions cancels this workshop for any reason, 100% of your workshop fee will be refunded. Payment and Refund Policy* I accept payment and cancellation policy I would like to pay* Online By Check If you choose to pay online, you will be taken to PayPal to complete payment. You can pay with a credit card at PayPal even if you do not have a PayPal account. If you choose to mail us a check, your payment is due within 7 days. Please remit to 32 Mineral Dust Dr, Asheville, NC 28806.Total $0.00 PhoneThis field is for validation purposes and should be left unchanged. Δ
