| 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 Equine Massage Therapy. Enclosed is my check or money order in the non-refundable amount of $300 to cover the deposit for the class, starting _______/_______/______. or I would prefer to charge the deposit to my Visa or MasterCard for the class starting _______/_______/______. | ||||
| Card# | _______________________ | Exp. Date | __________ | |
| Name (Print) | _______________________ | Signature | _____________________ | |