*Required fields
*First Name:
*Last Name:
Company:
*Address:
*City:
*State: *Zip/ Postal Code:
*Phone: Fax:
Email:
Class (Select which one you would like to register for):
TOTAL:
$150.00 deposit is required to register. Please make checks payable to Lucid Living or pay by cc below.
Credit Card: (Circle one) MC VISA
Credit Card Number:
Expires:
Signature:
Do we have you permission to charge the balance 3 weeks before the course begins?
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Do you wish to be informed of upcoming workshops/classes?
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How did you hear about this class?
Thank you for your registration!
Transfer policy: You may transfer your deposit to another weekend with no penalty 30 days before the course. If you transfer within 30 days of the course, a $50 administration fee will be charged.

Cancellation Policy: If you cancel a course within 30 days, your deposit will not be returned. If you withdraw from a discounted Course Package, you will be charged the remainder of the full individual course fee ($100) for any completed courses and a $100 cancellation fee for each incomplete course in the series. Cancellation of any course within 72 hours results in loss of course fee.
Print and mail or fax order to:
Fax: 530-478-9079
Lucid Living
17018 Cooper Rd.
Nevada City, CA 95959

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