Register For a Class | soft-landing

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First name

Last name

Address

Phone

Email

Class Date & Location

Which Class(es) will you be taking?

Level 1

Level 2

Level 3

Healing Touch Professional Assoc (HTPA) or AHNA Member?

Yes

No

Package Student?

Yes

No

HTPA or AHNA Member #

Student/ Package ID#

Payment Type

Check

Zelle

Cash

Payment Amount $

If paying by check, please make it out to Soft Landing Healing. Mail check to 291 Willard St., Suite 105, Cottonwood AZ 86326

For those who wish to use Zelle, Please Zelle to SoftLandingHealing.com

291 S Willard St. suite 105, cottonwood az 86326
954-290-8313 softlandinghealing@gmail.com

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