Workshop Registration

PAYMENT VIA CHECK/MONEY ORDER: Print & Mail Registration Form: Name_________________________________________ Address_______________________________________ E-Mail____________________ Phone____________ Workshop Date/Name_____________________ $____ Workshop Date/Name_____________________ $____ Workshop Date/Name_____________________ $____ Less discount/promo code _____%________ – $ ____ Toal Amount Enclosed $________________________ $59.00 – 1 workshop $89.00 – 2 workshops $125.00 – 3 workshop *groups of 4 or more = 20% discount / promo code grp20 *Register By Febraury 1st and receive 20% discount! / promo code feb1 *Above fees apply to ANY 2 or 3 workshops. ie: 1 workshop from March 4 + 1 workshop from March 11 = 2 workshops for $59

Credit Card Payments via PayPal only please Make checks payable to New England Fitness Company. SEND CHECKS AND REGISTRATION TO: The New England Fitness Company 26 Havelock Road Worcester, MA 01602 Register by February 1st for 20% discount! Please mark discount on mail in form