Karuna Five Element Shiatsu Massage Program
Begins June 2, 2008

Registration Form:

Name_______________________________________________
Address_____________________________________________
City___________________________ State_________________
Zip_______________

Phone ___________________________
Email____________________________

Circle payment option:

Registration Fee $75 Check   Paypal
Insurance
and AOBTA membership
$100 Check   Paypal
Deposit $1,000 Check   Paypal
Tuition in full $5,200
(includes deposit)
Check   Paypal

Withdrawal and Refund Policy

1. The registration fee and insurance/AOBTA membership is non-refundable for all applicants.
2. Those who pay in full who withdraw before the beginning of the program will receive a refund minus the registration fee.
3. Those who withdraw within the first month and have paid in full, will receive an 80% refund minus the registration fee.
4. Those who withdraw after the first month and before the third month begins, and have paid in full, will receive a 65% refund minus the registration fee.
5. There is no refund for those who pay in installments or for those who have paid in full and withdraw after the third month begins.

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