Creating A New You
WOMEN'S Weight Loss Boot Camp
DAYS
PROGRAM DATES
TIME
FEE
REGISTRATIONS
MON -
FRI
MON - FRI
06/14 - 06/18
09/27 - 10/01
9:00 am
- 6:00 pm
9:00 am - 6:00 pm
$
575.00
5-Days
DEPOSIT
REQUITED*
8
REGISTER ONLINE ,
BY
PHONE AT
(585) 349-9983
OR
BY MAIL .
INSTRUCTOR:
Frances
A
Carns, ND • Angels
At Work
• (585)
349-9983
LOCATION:
Angels
At Work • 24 West Avenue • Spencerport, New York 14559
PROGRAM DATES:
Your
Choice Of Two 5-Day Programs
PROGRAM FEES:
Includes
Cost of Food for Meal Preparation and
a Certificate for a 1-Hour Massage!
BRING A BUDDY
DISCOUNT:
Register A Friend and get $75 OFF!
REGISTRATION
DEPOSIT:
*$75.00
/ Non-Refundable
FULL PAYMENT:
Required
One Week Prior To Start Date
CANCELLATION FEE:
$
75.00 / No Refunds Without One Week Notice
Retreat Session
Information
Monday,
06/14/2010 - Friday, 06/18/2010
•
9 am - 6 pm
Monday,
09/27/2010 - Friday, 10/01/2010
• 9 am - 6
pm
Registration
Information
First Name*
Last Name*
Street Address*
Apt
Street Address 2
City*
State*
Zip*
Day Phone*
Evening Phone
Email*
*Required Fields
Payment
Information
Payment Amount
$575
Full Fee
$75.00
Deposit
(Non-Refundable)
Buddy Discount
I
registered a friend for $75 OFF!
Name of Registrant
Payment
Method
MC
Visa
Am
Ex Discover
Credit Card Number*
Expiration
(MM/YY)*
Cancellation Policy
$75.00 deposits are non-refundable if registration is cancelled,
a $75.00 cancellation fee will be applied to cancelled
registrations that are paid in full with more than a one week
notice, and paid registrations cancelled less than one week
prior to start date will not be refunded. We thank you for your
understanding and cooperation.
Acknowledgement
Yes/No
Yes
No
I acknowledge
that I have read and understand the cancellation policy, am at least 18 years of age, and have read and understand
the
Terms of Service ,
Privacy Policy ,
and
Legal Disclosures
presented on this site.