Sam Magill • Coaching and Consulting • EVENTS

Registration for March 23-24, 2012 Reflective Practice Workshop

To register, fill out this form and press the SUBMIT button at the bottom of the page. Once registration is complete, you will be sent a confirmation email.

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Registration will not be sent until you click Submit button below!.

Date:
First Name:
Last Name:
Area Code/Phone:
Email:
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How did you hear about the workshop?
Payment
Cost of Workshop:	$375
Make check payable to:	S. Magill Consulting, Inc.
Mail check to:	S. Magill Consulting, Inc. 11708 Clearview Drive Edmonds, WA 98026

Comments or Questions:

Registration will not be sent until you click Submit button!
	Registration will not be considered complete, until payment is received.

If you don’t want to register online, call Peggy at 360-464-8866
and provide your information by phone.

11708 Clearview Drive, Edmonds, WA 98026 (425) 787•0846 sam@sammagill.com