Center for Attitudinal Healing and the Arts
Missoula, Montana

WORKSHOP REGISTRATION
or
Information Request

Attitudinal Healing: Experience and Practice,
and its Relationship to the Arts
August 4-6, 2011
Fee: $75

(For those with scholarships register here and make
payment arrangements directly with Dan Comstock.)

Registration and payment are preferred prior to workshop,
but may be completed at the door, starting at 5:30 pm

If you are paying by mail
fill in the form below and click on the "Send Now" button below.
The information provided on the form below
will be shown on the next screen.
At that point, the sign-in portion of your registration is complete.
Mail payment to the address below:
Center for Attitudinal Healing and the Arts
2828 1/2 S. 3rd St. W
Missoula, MT 59804

If you are paying by credit card
fill in the form below and click on the "Send Now" button.
The information provided on the form below will be shown on the next screen.
Continue, following the instructions as given.
The payment will be processed by PayPal.

For questions
(i.e., regarding scholarships)
or correspondence
use either
the
"I have the following questions:"
box below,
the postal address above
or contact us by phone or e-mail:
406-543-0358, caha@dcomstock.com

NAME

ADDRESS

CITY

ZIP CODE

PHONE

E-MAIL

Registration Fee:
($75)

I will pay by Mail Credit Card

Please include any questions that you may have.

I have the following restrictons: