Call 760-798-9076
for a free 15 minute
consultation.
Use this form to enroll in the "Dating With Your Future In Mind" seminar.

                                        Full Name:

                                 E-mail Address:

Seminar Date I Will Be Attending:

 


Method of Payment:






Cancellation Policy:  Before seventy-two (72) hours prior to the workshp tuition is refundable less a $25 processing fee.
  Within seventy-two (72) hours, participants are automatically placed in the next class.

Next Steps:
  • Upon submission of this form, directions to the seminar location and a PayPal invoice (if PayPal is your chosen method of payment) will be e-mailed to you.
  • Upon receipt of your payment, a questionaire concerning your relationship history and goals for the seminar will be e-mailed to you.
  • Attend and participate in the seminar.
  • At the completion of the seminar we will set a time for your free one-to-one follow-up hour.

Dr. Denise's Seminars & Love Counseling


Enhance Your "Love-ability,"
Prevent 'loosing yourself' in a relationship


“I'm just grateful...everything is so clear as far as the do's and don'ts of dating.”  Maria, 39


Bring a friend and learn together.
May 21 & 22
June 18 & 19
  I will send a check to Dr. Denise Budden-Potts, P.O. Box 2154, San Marcos, CA 92069-2154.
  Please invoice me immediately by e-mail, and I will use my credit card on PayPal (no paypal account required).