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Name_____________________________________________________________________
Address__________________________________________________________________
Telephone _________________________________ Cell ________________________
Fax______________________________________________________
Email ____________________________________________________
Mini Class _______________________________ Date __________________________
Mini Class _______________________________ Date __________________________
Mini Class _______________________________ Date __________________________
Fundamentals of Self Acupressure ________ Date __________________________
JSD Acupressure Facial __________________ Date __________________________
MODULE I
Part 1: Jin Shin Do Basic, dates: ________________________
Text: Acupressure Way of Health, Jin Shin Do, Iona Marsaa Teeguarden, $17 ____
Part 2: Jin Shin Do Intermediate, dates: _________________
Text: Joy of Feeling, Iona Marsaa Teeguarden, $34 _____
Part 3: Jin Shin Do Advanced, dates: ___________________
Text: Complete Guide to Acupressure, Iona Marsaa Teeguarden, $29 ____
Part 4: Bodymind Processing Skills, dates: _____________________________
MODULE II
Part 1: Integration of Key Theories, dates ________________
Part 2: Master Class, dates __________________________
Part 3: Expanding Theoretical Horizons, dates _________________
Registration with deposit or payment in full is due 2 weeks prior to first scheduled class. Payment should include 4.17%
excise tax and any discounts listed in Course Description. If you want a text, add price of book(s) plus $5 for each book
for shipping and handling.
Make personal check, cashiers check, or money order out to Sara Rose. Sorry, no credit cards at this time.
Send Registration with deposit or full payment to:
Sara Rose, 2531 So. Kihei Rd, D204, Kihei, HI 96753
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