Registration Form
for Wolfgang Luckmann’s Courses
Please copy, print, and mail all information to the address below!
| Course Title: | |
| Course Date: | |
| Full Name: | |
| Mailing Address: | |
| E-mail Address: | |
| L.M.T. Number: | |
| Telephone Number Best to reach you: |
Payment options: $50.00 secures your place. You can pay ½ now and the rest on the weekend. Payment of full amount entitles you to $25.00 discount.
Further group discounts given to three or more participants from clinics, establishments etc.
Mailing address:
Wolfgang Luckmann
86418 Worthington Drive
Yulee, FL 32097
Phone: (904) 610-9489
E-mail : wushebang@comcast.net
Good qi to you!