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					             CHINATOWN WELLNESS CENTER
                         52 Walker St. 2nd Floor New York, NY 10013
                           Tel. (212) 966 – 8830 Fax. (212) 966 – 8845
                                       www.cwcherbs.com


                                       PRESENTS THE

                   ONE DAY CHINESE MEDICIAL WINE
                                       JULY 26, 2008

                                       REGISTRATION FORM
                                      PLEASE PRINT CLEARLY



NAME _________________________________________________________________

ADDRESS ______________________________________________________________

CITY/STATE ____________________________________                ZIP ___________________

TELEPHONE (HOME) _____________________            (OFFICE) _____________________

EMAIL ADDRESS (OPTIONAL) ______________________________________________



                 PAYMENT OF $150.00 PAID IN FULL BEFORE JUNE 30TH , 2008.

                 AFTER JUNE 30TH, 2008 THE NEW PAYMENT WILL BE $175.00.



Refund policy:     More than 14 days prior to the first day of class – Full Refund
                   Within 14 days of the first day of class - $100 Fee
                   Withdrawal occurs on the day of the class – No Refund


Make Check Payable to:
                                Chinatown Wellness Center, LLC,
                                     52 Walker St. 2nd floor
                                      New York, NY 10013




           There is absolutely no audio or video tape recording of any workshop.

				
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