CHINATOWN WELLNESS CENTER
ONE YEAR PROGRAM: HEALING WITH GEMS & STONES
(A CHINESE MEDICAL PERSPECTIVE)
PLEASE PRINT CLEARLY
CITY/STATE ___________________________ ZIP ___________________
TELEPHONE (HOME) ________________ (OFFICE) ___________________
EMAIL ADDRESS (OPTIONAL)_________________________________________
Please check one
One payment of $2,300.00 a year paid in full before December 17, 2012.
Two payments of $1,300.00 a year
(1st payment before December 17, 2012 & 2nd payment by April 27 2013).
**NOTE: After December 17, 2012 the new payment will be $2,500.00.
And for the Two payment option after December 17, 2012, each payment will be $1,500.00.
Make checks payable to
Chinatown Wellness Center, LLC
52 Walker St. 2nd Floor
New York, NY 10013
(212) 966-8830 fax: (212) 966-8845
Register Early to ensure your enrollment, as class will be limited.
CEU - PENDING
No audio taping or videotaping of class will be permitted.