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RADIANT
RECOVERY
SEMINAR REGISTRATION
We are holding a one-day Radiant Recovery Retreat, Sunday, September 25 from 9:00 a.m. to 4:00 p.m. in the 10th Floor Conference Room at 451 Park Avenue South, New York, NY, between 30th and 31st Streets. You can find directions by using mapquest.
Please be sure to fill in all blanks in this order form, except the Additional Notes, or your order may not process
First Name:
Last Name:
E-mail:
Street:
City:
Province/State:
Postal Code/Zip:
Phone Number: ( ) -
Credit Card:
Visa
Master
Card American
Express
Card Number:
Expiration Date: /
Number of persons attending:
Additional Notes
(special needs, questions, concerns, etc.):
The cost for this retreat is $150.00, non-refundable and due upon registration. This does not include lunch, but we will provide local restaurant information and plenty of time for you to enjoy a break. There is also a Starbucks across the street if you wish to bring coffee in.
Please make sure all information has been filled in.
If you prefer, you may send the above information using one
of the following options:
- Phone: 505-345-3737
- Fax: 505-345-3057
- Check or money order to: Radiant Recovery, 3805 Manchester Dr., N.W.,
Albuquerque NM 87107 (send the registration through the web and
make a note if you are sending a check.)
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