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RAINBOW YOU - Workshop Registration Form        Print This Page

Name___________________________________________________________________

Street________________________ City_______________ State_______ Zip_________

Home Phone______________________ Work Phone_____________________________

Email: __________________________________________________________________


      Select which workshop/s you want to attend below:

_____Intuition Development (Weekend of March 5th & 6th, 2005)    		$95.00
_____Intuition Development (Wednesday evenings, beginning February 23rd)	$95.00
_____Belief Management (Weekend of April 2nd & 3th, 2005)			$95.00
_____Conscious Communication (Weekend of May 7th & 8th, 2005)		        $95.00
_____Empowerment Coaching (Wednesday evenings, beginning May 4, 20th)    	$95.00
_____The Five Rites (Saturday, March 12th, from 2 - 4 pm)			$25.00

       My total due is________

___I have enclosed a check or money order payable to Rainbow You.
___Please charge to (circle one): 	Visa	Mastercard	Discover

Credit Card No: ______________________________________________

Expiration Date ______________________________________________
           
Your Authorization Signature: ________________________________
                
Your credit card statement will read:  Country Concepts

What Happens After You Register: 

1. First, we whoop and holler in the office celebrating your registration. 
2. Second, we put your name on the list that reserves your place in your course. 
Each course only has 20 spots available.
3. We send you a jumpstart packet, complete with course details, application, 
and a logistical and travel info sheet.  If you need overnight accommodations, 
let us know.  A bed and breakfast is available close by. 
4. Finally, we do a follow-up call to confirm logistics and answer any questions 
you may have about coming to the workshops.  


Gift Certificates Available



Call, Fax, or Mail this form to us:  Call: 1-877-WITHIN-U  Fax: 206-600-LUCK (5825)  
Rainbow You, P.O. Box 57, 122 S. Main St., Camden, MI 49232