Please provide the following contact information:

Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

            Please choose CEU classes below:

            To choose multiple classes, hold down Ctrl while clicking your classes.

            Add my name to the Thai Excursion List Thai Study Group Aquamassage Study Group  

            Comments:

            Please Register at least 2 weeks in advance. For late registration, please add 20% to the class fee.

                Please choose your method of Payment:

              PayPal payments. We will email you an PayPal invoice.

              Pay by Check and mail to:

            Exceptional Massage Institute (EMI)
            330 6th St.
            Hot Springs, AR 71913-3457