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Registration Form
To register for the next Bring Yourself to Love weekend couples workshop, mail this registration and your check made payable to Mona Barbera, 341 Broadway, Providence, RI 02909.
Dates and Times:
November, 2010 - exact dates not set yet
Fee per couple: $635.00
Register before August 15th, 2010 and receive $100 off!
Couples intensives available after the workshop. You can extend your learning with 1 1/2 to 3 hour sessions with Mona at her nearby office.
Please print this page and fill-in the form below:
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Name (1) _________________________________________________________
Name (2)__________________________________________________________
Address___________________________________________________________
Email_____________________________________________________________
Phone (H)___________________________(W)___________________________
(Cell)_____________________________________________________________
Date of registration_______________________
Discount (enter the name of your discount here)___________________________
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Note: Bring Yourself to Love weekend couples workshops may not suitable for couples in which one or both partners are currrently suicidal.
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