Please complete the registration form below and mail it with a check
payable to:
RI-AMTA
PO Box 14641
East Providence, RI 0291
Registration Fee: AMTA Members
-- $250 Non-AMTA Members -- $300
REGISTRATION DEADLINE IS MAY 8, 2010!
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REGISTRATION:
Bringing Shiatsu Into Your Full Body Massage Treatments with Karlo Berger
May 22 and 23, 2010, 10am-5pm, Hampton Inn & Suites, Warwick, RI
Registration Fee: AMTA Members = $250 Non-AMTA Members = $300
Name: _________________________________________________________________
Address: ________________________________________________________________
City, State,
Zip Code: ______________________________________________________
Home Phone #: __________________________
Cell Phone #:______________________
Email: _________________________________________________________________
License #: ____________________________ AMTA #: __________________________
Payment in full
is required at the time of registration. Written confirmations will be sent to participants by May 8, 2010.
All cancellations must be made in writing and submitted to RI-AMTA. An administrative fee of $50 is assessed on all
cancellations postmarked no later than May 8, 2010. A $75 administrative fee is assessed on all cancellations postmarked
between May 9, 2010-May 15, 2010. Cancellations postmarked after May 15, 2010 and no-shows are not eligible for refunds.
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If you have any questions, please contact
Alda Medeiros, 401-829-0293, justbreathemassage2@yahoo.com
