CHINATOWN WELLNESS CENTER - DOC

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					                               CHINATOWN WELLNESS CENTER
                                                       presents the

                                      Summer 2012 Workshops
                                                    PLEASE PRINT CLEARLY



   NAME___________________________________________________________

   ADDRESS________________________________________________________

   CITY/STATE ___________________________                ZIP ___________________

   TELEPHONE (HOME) ________________                 (OFFICE) ___________________

   EMAIL ADDRESS (OPTIONAL)_________________________________________



   A. Qi Gong                                       July 21, 2012 Saturday 10 – 5,        $150.00

   B. Qi Gong for the 12 Primary Channels July 22, 2012 Sunday                  10 – 5,   $150.00

           Please Circle One Or Two


   A. or B. or A & B          Payment Of $150.00 Each Day, Paid Before July 1, 2012

   A. or B. or A & B          After July 1, 2012, New Payment Will Be $175.00


   C. Feng Shui        August 4 – 5, 2012 Saturday and Sunday 10 – 5,              $300.00

   Please Circle One


C. Payment Of $300.00 Paid Before July 6, 2012

C. After July 6, 2012 New Payment Will Be $350.00

   Make Checks Payable to

                                              Chinatown Wellness Center, LLC
                                                   52 Walker St. 2nd Floor
                                                    New York, NY 10013
                                          tel: (212) 966-8830 fax: (212) 966-8845
            www.cwcherbs.com                                                   customerservice@cwcherbs.com

                            Register Early to ensure your enrollment, as class will be limited

                                             No CEU for these Workshops

                               No audio taping or videotaping of class will be permitted.

				
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