Register for a Class

I look forward to working with you!

Please complete the short form below to register for a class.

Checks, cash or Venmo payments are accepted. Check the box below for this option and Becky will contact you to arrange payment. You can pay with Paypal or credit card on the form below.

Class Registration

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Name(Required)

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Is it ok to contact you via text message on this number?(Required)

yes

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Class Registration for:(Required)

Intermediate Jin Shin Do

Jin Shin Do Study Group/ Class Review

Basic Jin Shin Do

Communication and Ethics

Fundamentals of Self-Acupressure

Advanced Jin Shin Do

Jin Shin Do Acupressure Facial

Couples Massage Playshop

Are you a licensed massage therapist?(Required)

yes

Intermediate Jin Shin Do Class payment options

Includes Paypal fees

$1,035.50 Early Bird special by Sept.12

$259.15 Deposit

$880 Balance

$1138.90 Full price after Sept. 12

Will arrange cash, check, venmo or payment plan with Becky Smith

Jin Shin Do Study Group/ Class review payment options

Includes Paypal fees.

Paypal or credit card payment $47.00

Will arrange cash, check, venmo or payment plan with Becky Smith

Payment Method

MasterCard

Visa

Supported Credit Cards: MasterCard, Visa

Card Number Expiration Date Security Code Cardholder Name

Contact Becky

beckysmithlmt@gmail.com
541 345-7189

Located in Eugene, Oregon

LMT #2396

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