Please complete the following form to register. A deposit of $130 is due and will be applied to the first two classes in this series. Name* First Last Email* Phone*Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Select Course Begin date* November 10, 2019 Select the course beginning date for which you are registering.2018 - Preparing for Your Own Death and Life**A deposit in amount of the first 2 classes is required to signup for this workshop. At $65 a class, the total deposit required will be $130 (2 classes x $65 =$130). Subsequent classes may be paid at time of class or in bulk. Price: Coupon 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 EmailThis field is for validation purposes and should be left unchanged.