PLEASE COMPLETE THIS FORM IN FULL AND SUBMIT. ONCE YOU CLICK SUBMIT, YOU WILL BE REDIRECTED TO PAYPAL TO MAKE PAYMENT.

Class you will be attending:

Stabilizing the Feet for Pain-Free Mobility – Live Webinar

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Iowa Massage Therapist License, or if not applicable put NA(Required)

PLEASE NOTE THAT YOUR REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS RECEIVED. TO COMPLETE REGISTRATION CLICK ‘SUBMIT’ AND YOU WILL BE RE-DIRECTED TO PAYPAL FOR PAYMENT.