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Registration Form for SoulStudio Workshop
Please fill out the following and I will confirm your registration. If you have not previously attended a SoulStudio workshop I will contact you about details and answer any questions you may have.


Name
Address
Daytime Phone() -
Evening Phone() -
E-mail Address
Comments
Date of SoulStudio Gathering
 
 

The 3 hour SoulStudio workshop is $40. You may send a check to the following address or you may use PayPal to make a secure payment with your credit card. If you have a Paypal account you may also send your payment to diane@innerstandings.com.

Diane Havnen-Smith
1210 SE Oak St.
Portland, OR 97214-1424

You will receive an e-mail confirmation of your registration.

Cancellation Policy Once registered you are responsible for payment of the SoulStudio workshop. If you are unable to attend you may have another person take your spot. Please contact me if you would like someone to attend in your place.



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Diane Havnen-Smith, MSW, LCSW