Three Rivers Center for Relationship

Registration Form

To register for our Getting the Love You Want Workshop, please fill out the form below, print and mail in with your check or money order.  If you would like to pay with your credit card, we accept VISA or MASTERCARD (provide your credit card information below in the appropriate field).  Thank you for your interest in our workshop and we look forward to hearing from you soon!

Click here for important information before registering.

 

If you are paying by check, make checks payable to:

Three Rivers Center For Relationship

Name:
Address:
City:

State:

Zip:

Email:
Phone: (day)
(eve.)
Fax:

Partner's Information:

Name:
Address:
City:

State:

Zip:

Email:
Phone: (day)
(eve.)
Fax:

Workshop Date:

Date:

Payment Information:

Check

Money Order

Credit Card
Amount:
VISA:

MASTERCARD:

Card #:
Exp. Date:

 

Please choose a referral source:
if other:

Send registration to:

Three Rivers Center For Relationship
115 N.W. Greeley
Bend OR 97701

 

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Registration:  Space is limited. Early registration is encouraged. The fee for the workshop is 700.00 per couple, which includes tuition, two workbooks, continental breakfast each day, and afternoon snacks. The registration fee must be paid in full two weeks prior to the workshop. A deposit of $250.00 will reserve a space for you.  Please ask about a payment plan if needed.

Cancellations:  If you cancel eight days or more prior to the workshop you will receive a full refund minus a $100.00 administration fee. If you cancel seven days or less prior to the workshop, you may transfer your registration fees to another scheduled workshop, however, no refunds will be made.

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