Name
Address
City State
Zip code
Phone #
E-Mail address
Please print this form and send it with a check for
$275.00 to :
Cindy
Brody P.O. Box 146 Woodstock, NY 12498
845-679-3393 www.cindybrody.com
CLASS IS LIMITED TO 12 SO PLEASE RESERVE EARLY!
Materials will be provided. Bring beverages.
I look forward to teaching you CinergE!
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