Registration Form
| 1. Click Here to PRINT
PAGE 2. Fill out Form below 3. Detach Form 4. Send with Payment |
CHECK PAYABLE
TO: MAIL CHECK TO: |
New
Parent World, LLC The Birth Boutique 28 Diamond Spring Road Denville, NJ 07834 |
Date: ___________________________________________________
Name: ___________________________________________________
Spouse:
__________________________________________________
Email:
___________________________________________________
Phone:
___________________________________________________
Address:
___________________________________________________
___________________________________________________
___________________________________________________
Due
Date __________
I am registering for (please
select all that apply):
NPW Class/workshop:
Class
Name ______________________________________ Date __________
Price $ ___________
Spouse
attending? _________ Please place
me on the:
Wait List _______ Call List ___________
Class
Name ______________________________________ Date __________
Price $ ___________
Spouse
attending? _________ Please place
me on the:
Wait List _______ Call List ___________
NPW membership $129/year
Total
Charge $ ________.____
Method
of Payment: Cash
Check
Credit Card ______________________________
Associate
Signature __________________________
Date ____________________
______ I have read and accept the terms of the cancellation policy.
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- - - - - - - - - - - - - - - - - - - > OFFICE USE ONLY - - -
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Please
detach and give to customer
NEW PARENT
WORLD
Date _________
Amt. paid _________ Method
of payment _________
Paid for:
New Parent World Class/ Workshop
Class
Name _______________________________________Date ___________
Price _________
Class
Name _______________________________________Date ___________
Price _________
New Parent World membership $129/year
Cancellation Policy: Payment is required in full at the time of registering. If you should cancel 30 Days prior to the class, you will receive a 50% refund. Cancellations made less than 30 days prior to the class, will receive full credit towards another class. You have the option of attending the next available class that you missed, or take any other class within the same price value for 1 year from the date of the missed class. Any cancellations less than 48 hours from the scheduled class date, you will forfeit the entire amount.
Associate
Signature __________________________ Date ____________________