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Please print this form and mail it to:Seeds of MindfulnessHEARTWOOD Mindfulness Practice Center 3706 East 34th Street Minneapolis, MN 55406 612.343.1623 | |
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To reserve space in a class, send a post-dated check (payable to Judith Lies) to the address above for the full course fee, along with the completed form below.
Registration should be received one week prior to the start of a class. Class size is limited. Early registration is recommended. |
Name: | |
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| City: | State: | Zip: |
| Course: | A.M./ P.M. (circle one) | |
| Daytime Phone: | Evening Phone: | |
| Email: | Referred by: | |
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Seeds of Mindfulness never sells your information. Your name and e-mail address are used for marketing purposes only. By submitting your name and e-mail address, you are giving permission to periodically receive marketing materials for Seeds of Mindfulness only.
__ Check here if you would like to remove yourself from our mailing list. We will not send you any marketing materials in the future. print this form |
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