Registration & Payment

LEARN THE TOOLS FOR A HAPPY LIFE

2008 - 09 Registration Form & Payment Information

Please Fill Out the Registration Form completely and submit along with your payment to hold your seats at the Workshop of your choice.

All Workshops will be held at the

Holiday Inn Buffalo International Airport or at other convenient locations listed on the Workshop Dates & Location Page. Locations may vary.

Hosting a PAIRS Training for your church or organizaiton.

Note: It is our policy to NEVER share your personal information with any other entity. It is for the sole use of Heart to Heart Workshops.

Registration Form / Gift Certificate Form

Please use comment section to note any Discount or to purchase a Gift Certificate

(Fill Out Completely)

Your First Name
Your Last Name
Partner's First Name
Partner's Last Name
Street Address
City
State
Zip Code
Home Phone Number
Cell Phone Number
E-Mail Address
COMMENT SECTION: Workshop Name & Dates Requested/Gift Certificate/Discount Information.

Payment Information:

This is a Professional Communication and Problem-Solving Workshop and may be reimbursed by your employer or union. A Pairs Foundation Certificate will be awarded upon completion of the workshop. Some companies reimburse their employees for these valuable personal-development training classes. Check with your union or employer.

Workshop Fee: ONLY $199 Per Couple

for 2-Day Workshop!

This includes two full days of powerful, interactive relationship education and practice sessions, Official PAIRS Manual and all materials and supplies.

*A Deposit of $100 per couple is required with application to reserve your seats.

Note: Heart to Heart Workshops reserves the right to cancel any workshop or to change the location of the workshop. Fees for cancelled workshops will be refunded in full or applied to another workshop at the discretion of the participant.

How to make your payment:

Forward your full payment in the form of a

check or money order payable to

"Heart to Heart Workshops" to:

Heart to Heart Workshops

53 Kalla Lane

East Aurora, NY 14052