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“Creating Intimate Connections” Open Workshop Registration
Please use the form below to register for “Creating Intimate Connections”.
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Name
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Last
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Mailing List
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How did you learn about the Gestalt Center?
Creating Intimate Connections Registration Options
(Required)
Individual Working Space ($650)
Group Space ($525)
Student/Alumni Space ($350)
Creating Intimate Connections Lodging
(Required)
No Lodging
Lodging ($170)
Do you have any food allergies or special dietary needs?
(Required)
Yes
No
Please list any food allergies or dietary needs:
(Required)
Additional Donation
(Required)
Please consider paying extra for this workshop if you can afford to. Your generosity will provide scholarships to attend our workshops, so others who are less fortunate can use the Center’s events to maintain productive and harmonious relationships with themselves, their families, their community and the world.
Not at this time
$20
$50
$100
Other
Donation Amount
Payment Options
(Required)
There is a non-refundable 3% processing fee to pay via credit card. If you prefer, you may drop off cash at the center or mail a check.
Cash/Check
Credit Card/PayPal
Credit Card Processing Fee
Price:
$0.00
Total – Creating Intimate Connections
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PayPal Checkout
Credit Card
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MasterCard
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Supported Credit Cards: American Express, Discover, MasterCard, Visa
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Please be patient after clicking the Register/PayPal button. It may take several seconds for the payment to process. Thank you!
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