Well Adjusted Seminar Information

Your name

Your email

Which Seminars Will You Be Attending?
Saturday 26th - Sunday 27th November, Module 1 Hamburg GermanySaturday 10th - Sunday 11th December, Module 2 BarcelonaSaturday 18th - Sunday 19th February, Module 1 BarcelonaSaturday 11th - Sunday 12th March, Module 2 GermanySaturday 22nd - Sunday 23rd April, Module 1 LondonSaturday 27th May, 4 hr program Ireland(registration via CAI)Saturday 24th - Sunday 25th June, Module 2 BarcelonaSaturday 2nd - Sunday 3rd September, Module 1 BarcelonaSaturday 9th - Sunday 10th September, Module 1 DallasSaturday 28th - Sunday 29th October, Module 1 GermanySaturday 4th - Sunday 5th November, Module 2 Barcelona

Number of Seminar Participants

Names of Seminar Participants (Please include e-mail address in parenthesis if available)

Address

City

State

Postal Code

Country

Phone

File Attachment: Please attach your proof of payment via Bank Transfer/Online Payment

Date Reservation is Submitted

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