Healthy Soles School of Reflexology Printable Registration Form

Please

print this page and mail with your payment to:

Susan Watson
2020 Hillsdown Rd
Davis, IL 61019

Name:	________________________________________________________
Mailing Address:	________________________________________________________
E Mail:	________________________________________________________
Home Phone:	________________________________________________________
Cell Phone:	________________________________________________________
Occupation:	________________________________________________________
Date of Class:	________________________________________________________
How did you hear about this program?	________________________________________________________