Lomi Lomi Massage - "The Rhythm of the Heart"
Registration Form
Name
Address
Phone #
Email
Register for:
Please check all that apply
I am a vegetarian, retreats only
I have food allergies
I have physical limitations
I have studied Lomi previously
I am a massage therapist
I am NOT a massage therapist
I will bring my massage table
Retreat lodging is shared accommodations
I understand, no alcohol or drugs during retreats
I am applying for a partial scholarship
I am an alumni student
Please comment here
How did you hear about Lomi Lomi Massage Ce?
Search Engine
Email announcement
Direct Mailing
Friend
Massage Nerd.com
Privai Academy
PERG
FaceBook
Other
Discount Code or Referral Code, if applicable
Type of Payment
Check made payable to Massage Pro Ce
Pay Pal - send payment to massageproce@gmail.com
Paid through Thera-ssage, Sponsor
Paid through Privai Academy, Sponsor
Paid through Ahlara International, Sponsor
Paid through Living Arts Institute, Sponsor
Paid through Event Brite
Master Card or Visa
Partial Scholarship Pending- not for retreats
Scholarship Question: Why do you feel you deserve a partial scholarship. How will the training benefit you in massage or your life?
How much of a scholarship do you truly deserve? How will you help others as a result of this offering?
Credit Card Number (You may also call with info)
Name on the Card
Expiration Date
Billing Zip Code
3 digit security code
 
 
Each year I like to "Pay it Forward" and provide at least 1 partial scholarship to a deserving student. Is that person you?  Contact me at massageproce@gmail.com for more details. This scholarship is not valid on the Hawaii retreat/training or at any sponsored events or discounted programs.
 
There are no more scholarships available for 2009! I am pleased to announce I have provided several scholarships this year to deserving students!
 
To mail a check please make payable to Massage Pro Ce and mail to
Gloria Coppola at PO Box 1438, Black Mountain, NC 28711
 
You May also go to www.MassageProCe.com to pay directly through pay pal via our main website. I also accept MC/Visa. Call me. (828) 713-3521
 
Please contact Thera-ssage at 828-288-3727 for the sponsored  Lomi Class coming in July 2010!
 
All retreat trainings have a $250.00 non-refundable deposit.

Cancellation Policy



No Refunds if cancellation is requested within 45 days of the retreat due to the nature of commitment for all expenses involved.


Cancellations prior to 45 days will be prorated depending on method of payment received.


In the event of a personal medical emergency, we will do our best to find a replacement, but cannot guarantee that placement, in order for you to receive a prorated refund.

In the event the training is canceled by the host all monies
will be refunded.



 
If you would like to pay through Pay Pal you may do so by setting up a Pay Pal account and sending the money to: massageproce@gmail.com
 
 
or Click here for Kaua'i Retreat payments http://lomilomikauai.eventbrite.com
 
 
 
You will receive a confirmation with all details within 72 hrs.
 
Mahalo, Gloria