DEADLINE TO REGISTER IS SEPTEMBER 19, 2011
 

Mail Completed Forms to: Life Enrichment Counseling Service
1515 Park Center Drive, Suite 2M, Orlando, FL 32835 

Name:                                                                       

Address:                                                                                    Zip:              

Phone:    H:                                              Cell:                                             

Email:                                                             

  SELECT CLASS TIME:             Tuesday Evenings _____

                                                   Wednesday Mornings _____

Payment:    _______   $ 60  Includes a one-hour follow up personal coaching appointment

Cash or Check    (No Credit Card Option Available)   

Make Checks Payable to:    Dr. Kay Julien

ALL FEES DUE BY MONDAY, SEPTEMBER 19, 2011

Contact Dr. Julien at epic6009@earthlink.net or 407-234-4901 for questions or for late registration.

Class is held at 1515 Park Center Drive, Suite 2M, Orlando, FL 32835