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Registration for Inner Strength Program:

Name: _______________________________________

Address:______________________________________

             ______________________________________

City: ___________________ State: _____ Zip:________

Phone: __________________________________

Email: __________________________________

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Course Name Dates     Deposit
 

 

   
 

 

   
 

 

   
 

 

   

TOTAL:

Paying by Credit Card?

Card type: V / M     Expiration ____/___

   

 Number: ________  _______  ________  ________

 

 

Signature:                                                                    

 

A confirmation will be sent by email or US mail, with special information about the course you are attending!

It's easy to register for a course at Inner Strength. Because we limit the class sizes to provide quality education, it's important to register early for the courses you are interested in.

We require a deposit for all courses and workshops upon registration. Deposit amount needed is noted on the course information. Complete payment is needed before course start.

If you wish to schedule your PRIVATE COURSE, please call us at 724-845-1041 to find mutually available dates. You will need a $500 non-refundable deposit to hold these dates for your private training.

We accept check, money order, Visa and Mastercard, and Paypal.

You can register by :

Calling

724-845-1041

with your credit card information

Printing and sending this page and check to:

Inner Strength

825 Lovers Leap Rd

Leechburg, PA 15656

 

Printing and Faxing this page with credit card information to:

724-845-7739

 

Email us at

 info@inner-strength.com with the course name and dates, and we will invoice you online via paypal.

 

Ted J. Cibik

  724-845-1041 or Email Us

 

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