Therapist NVC Course

Therapist NVC Online Workshop

Fill out the form carefully for registration
Student Name

First Name Middle Name Last Name

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Student E-mail
Mobile Number

Area Code Phone Number
Phone Number

Area Code Phone Number
Work Number

Area Code Phone Number
Company
Additional Comments
Please make payment online to

Restorative Relationships

Account: 01-0322-0212196-01

Payment must be received before your place in the workshop is secure.

If registration is cancelled within 30 days of the workshop date a full refund will be given. If cancellation is within 10 days of the workshop date a 50% refund will be given. If cancellation is less than 10 days before the workshop date, no refund will be given.

If the organisor cancels the workshop a full refund will be given.
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