STAR Tech Healing and Learning Center
Training Workshops for Massage Therapists and Bodyworkers
|
Workshop(s) I plan to take |
Date | Cost |
| STAR Tech Treatments for Arms, Hands and Lateral Shoulders | Feb. 26, 2011 | |
| STAR Tech Treatments for Neck and Medial Shoulders | Feb. 27, 2011 | |
| Both STAR Tech Upper Body Workshops | Feb. 26 & 27 | |
|
*Please Double Check for Possible Discounts |
||
|
Deposit |
$ | |
|
Balance Due Day of Workshop |
$ |
Please make check payable to: Barry L.
Bailey
Mail to: STAR Tech Healing and Learning
Center, 14 Nason Street,
Suite 202, Maynard, MA 01754
Name: _____________________________________________________________
Address:
___________________________________________________________
Telephone: Home: _________________ Work: ___________________
E mail: ___________________________________________________
I am a
____ Massage Therapist; ____ Physical Therapist; ____ Chiropractor;
____
Fitness Trainer; ____ Coach; ____ Student; ____ Other
Certification of Completion
____ I do want, ___ I do not want a Certificate of Completion for the Workshop(s) I
am attending.
On my Certificate of Completion, please show my name as:
___________________________________________________________ (please print clearly or type)
I learned of these Workshops from: ___ Newspaper, ___ Magazine, ___Poster, ___ Internet,
____ e-mail,____ Brochure, ___ Friend or Co-worker, ___ Previous Workshop,
___ Other – Please Name the Source ________________________________
Revised 12-15-10