Registration Form

Use the following form to register for our events. Required fields are marked with an asterisk (*).

For multiple or optional dates, please verify which days you expect to attend in the comments section.

*Name:
*Phone: Email:
Address:
City, State, Zip:

List the event(s) you wish to attend and your fee payments. For free offerings, enter "0" or "Free."

Event

Payment: $

Total payments: $

*FOR PAYPAL ONLY: Add $3.40 to this cost when sending your fee. This charge is not required when paying by mail or directly in person.

I will send my fee(s) by:
PayPal Website Postal Mail Person to Julie
(For postal mail, contact Julie to discuss.)

FOR PAYPAL: Send money to juliemove-as-one.com at www.paypal.com. You must be a registered user of PayPal in order to send money with their service.

NOTE: Fees are expected to be paid in full prior to, or at the time of each event, unless other arrangements have been made in writing or by email.

How did you learn of our event(s)?:

Please enter date information, other details, or questions here. For optional dates, let us know your plans.
Example: Sending $130 for two persons, January 12 retreat.