| Please print out this page and mail it with your payment or purchase order. | Yes! Please register me for Brain Gym 101 for this date: March 5-6-7, 2010
April 30, May 1-2, 2010
September 10-11-12, 2010
October 22-23-24, 2010
Name (please print clearly)_______________________________________________________________ Address _____________________________________________________________________________ City ____________________________________ State ___________________ Zip _______________ Phone -- Day _______________________________ Evening __________________________________ E-mail ____________________________________ Fax ______________________________________ How did you find out about these courses? __________________________________________________ |  | Course fee: $395 with your full registration or $50 deposit received two weeks before. For registration less than two weeks ahead and for purchase orders registration is $425. The course fee includes a $50 deposit, which is nonrefundable unless Center Edge reschedules the course. Please note: To get the most out of this course, you will also want a copy of the book Brain Gym Teacher’s Edition, available in class for $29.95 ($32.44 including tax). This is the newly revised 2009 edition of this book, greatly expanded. You are welcome to add this to your registration and we will hold a copy for you. If you have the previous version, that's fine! |  | Personal Payment Options |  |  | 
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| Course dates and details are subject to change. Please confirm course status before sending your registration. All deposits are non-refundable unless we reschedule. Please mail your check, money order, or purchase order (payable to Center Edge LLC) with this form to: Kathy Brown / Center Edge LLC • 4915 E. Pinchot Avenue • Phoenix, AZ 85018 Call 602-952-7001 or e-mail for more information. | Unless otherwise indicated, all Brain Gym 101 courses will be held in the Center Edge LLC office, at the above address. Driving directions available on Center Edge web site; map and nearby hotel information available on request. Water and healthy snacks will be provided. Please wear loose pants, shorts, sweatpants, etc., that allow full, easy movement, and bring the note taking materials you prefer. We look forward to having you in class! |  |  |  |
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