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Individual Registration

Please enter information in the form below to process registration for the class Foot Reflexology Basic Course.

When registering please list your name as you would like it to appear on your certificate.

First Name *

Last Name *

Address *

Address 2

City *

Zip *

State

Phone

Email *

Comment

Payment Information

Amount

$

Payment Method

visa-mc Foot Reflexology Basic Course - Individual Registration

Credit or debit card*

By registering for this class, I accept Terms and Conditions