| Print out this page and send with payment to:
EQUISSAGE © | ||||
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| EQUISSAGE ©
Please accept my enrollment in the Equissage Certification Program in Canine Massage Therapy. Enclosed is my check or money order in the non-refundable amount of $495.00 to cover tuition, materials and testing. or I would prefer to charge the tuition, etc. to my Visa or MasterCard | ||||
| Card# | _______________________ | Exp. Date | __________ | |
| Name (Print) | _______________________ | Signature | _____________________ | |