TRANSFORMING-SELF
Helping You To Become A Happier You

REGISTRATION FORM

Workshop: ____________________________________________________________________


Name:  ________________________________________________________________________


Address:  ______________________________________________________________________

______________________________________________________________________________


Postal Code: ___________________________________________________________________


Phone: (H) _______________________________         (W) _______________________________


Email:_________________________________________________________________________

Please send registration form with full payment or a $40.00 deposit.  Make money payable to Myrna Aylward.

 

Mailing Address:Myrna Aylward, PRH Educator and Counselor
Box 1147,       Charlottetown, PE        C1A 7M8