EPTP REGISTRATION FORM FOR JULY 2010 - The Narrative …



PROFESSIONAL SKILLS AND PRACTICE

October 31 – November 3, 2014 – Asheville, NC

Note: You may also register and pay online at .

Name__________________________________________________________________________

Address ________________________________________________________________________

City/State/Zip ___________________________________________________________________

Profession _________________________Email ________________________________________

Enneagram type ___________________ Subtype (if known) _____________________________

Phone (h) ______________________(w) _____________________ (c) _____________________

Emergency contact _________________________ Phone(s) ______________________________

Name you prefer on badge___________________________________________________________

Meals: Food allergies/what kind _____________________ Vegan __ Vegetarian __Other _______

How did you hear about us? Friend or family (Enter name) ________________________________

( Website ( Email ( Mailing ( Ad ( Workshop ( Therapist ( Other (Name)__________

FEES - Please select both tuition and site fee below

Certified Teacher discounts: If you have already been certified by ESNT as an Enneagram Teacher in the Narrative Tradition, you qualify for a $250 tuition discount.

Meals: Residential prices include all meals. Commuter prices include lunches and dinners.

Double rooms: If you do not indicate a roommate preference, you will be assigned a roommate. Please note that the rooms are rather small, and you will not be able to change to a single room once you arrive.

TUITION

( Standard: $775 / ( Early-bird by September 24: $700

( Certified Teacher: $525

SITE FEE

( Residential, double room: $450 (List roommate preference, if any: _____________________)

( Residential, single room: $540

( Commuter: $340

Total tuition + site fee due: ___________

( Paid in full OR ( $300 deposit

For group discounts, or to apply IEA or ESNT gift certificates, please call Barb Allgaier at 866-241-6162, ext. 1, or 303-697-9456 outside the U.S.

PAYMENT METHOD

Today’s Date ______________

Name __________________________________________________________________________

( Check payable to “ESNT”: Check Number _____________ Amount ________________________

OR

( Credit Card: ( Visa ( Mastercard Amount _______________________________________

Name on Card _______________________________________ Exp Date _________________

Card Number _________________________________________________________________

Security code (3 numbers on signature space on back of card) _______________________

CANCELLATION POLICY

By September 24, 2014: Deposit refunded less $100 administrative fees

After September 24: Due to our site reservation commitments, deposit refunded less $150 administrative fees and any site costs incurred by late cancellation fees

Please confirm that you have read and agree to the Cancellation Policy above:

( YES, I agree to the cancellation policy.

SEND REGISTRATION

Send this registration form with your payment by:

Mail: Enneagram Studies, PO Box 411, Morrison, CO 80465, USA

Email: registrar@

Fax: 303-697-1198

For more information, please contact Barb Allgaier:

Phone: 866-241-6162, ext. 1 or 303-697-9456 outside the U.S.

Email: registrar@



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