Use this form to enroll in the "Dating With Your Future In Mind" seminar.

                                         Full Name:

                                 E-mail Address:

Seminar Dates I Will Be Attending:

 
 

Method of Payment:  Please invoice me by email, and I will use my credit card on PayPal (no PayPal account required)


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.



Set Appropriate Boundaries,
Develop Motivation to Find Your Mr. Love-to-Give


Enhance Your "Love-ability"

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

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