If you want to receive CEU credit , please print this form, and send with a check for the total fee to the address below.


2881 Castro Valley Blvd., #1
Castro Valley, CA 94546
(510) 886-0893     Fax:  (510) 886-0922
 

Name: _________________________________________________________

Address: ______________________________________________________

City: ________________________________ State: _____  Zip: __________

Phone: (         ) __________________________________________________

Current Occupation: __________________________________________

Certificates Acquired, at this time:_____________________________

Certificate of Attendance for Courses below:
 
  Course CEU’s Hours Cost
Segment Reflex Massage Seminar 8 8 $175
Reiki 8 8 $275
Acupressure 8 8 $275
Deep Tissue 8 8 $275
Foot Reflexology 8 8 $275
Tantra 16 16 $575
Spa Therapy 22 22 $575
      Total: ______

Please send a check for the total fee for selected courses with this form to the above address.