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Creating Lifelong Loving Relationships
To register for this program PRINT OUT THIS PAGE and follow directions below.
Registration Form
Date: ________________________________
Name: ________________________________
Email Address: ____________________________
Address: ________________________________
City: ________________________________
State: _____ Zip: _____________
Home Phone: ________________________________
Work Phone: ____________________________
Program Fee: _____________________________
The Program starts on Tuesday, February 24, 2009
PAYMENT METHOD (circle one):
Check Full Payment Money Order Full Payment
Credit Card Full Payment Credit Card Four Equal Monthly Payments
Credit Card Information:
Credit Card (circle one): Visa MasterCard
Card Number: __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __
Expiration Date: ________________
You can mail (or fax to 248-548-1925) completed form with check, money order or credit card information to:
RELATIONSHIP INSTITUTE
27172 Woodward Avenue
Suite 200
Royal Oak, MI 48067
All registered participants will receive a confirmation letter, map and guidelines for how to best prepare for the program.
ADDITIONAL PROGRAM INFORMATION
DATES
Creating Lifelong Loving Relationships meets for eight consecutive weeks starting on September 23, 2008. We have free makeup sessions for those who are unable to attend some weeks due to business or personal reasons.
LOCATION
The program is held in the Relationship Institute offices in Royal Oak at 27172 Woodward Avenue (just north of 11 Mile on the East side of Woodward)
PROGRAM FEES
The fee for the program is $545. This can be paid all of once, or by using an easy payment plan. Our most popular payment plan involves paying a $45 early registration deposit to reserve a space in the program, and then paying $100 a month for five months using a credit card. Other payments options are available; call (248) 546-0407 for details.
Note that there is also a $20 discount if you register with another person. For example, ask a friend to join you in the program and you each get $20!
GUARANTEE
We want this program to work for you and we stand behind it completely. Therefore, Creating Lifelong Loving Relationships comes with a full 100% money-back guarantee. Register for the program, pay in full, attend all sessions, and apply what you have learned in your life. If after six months if you are not completely satisfied with the results of the program in your life, we will refund your program fee in full.
METHOD OF PAYMENT
Payment can be made by either check, money order, or credit card (Visa or MasterCard). Depending on which program package you register for, you may be able to use our popular payment plan where you can spread out your payments over four months, with no additional fees or interest, by using your credit card.
HOW TO REGISTER
Three Easy Ways to Sign Up:
1. Call us at: (248) 546-0407 Monday - Thursdays, 9:30 a.m. to 3:30 p.m. to get fees.
2. FAX your registration to: (248) 548-1925. Available 24 hours a day
3. Mail your registration form to:
Relationship Institute
27172 Woodward Avenue, Suite 200
Royal Oak, Michigan 48067
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