Application for Treatment  - click on the words, save and print.  Bring the application, filled out, to your first appointment .
The file is in PDF format readable with Adobe Reader.

If you need Adobe Reader, a free download is available here.  This download allows you to view files in PDF format which is a standard for document sharing, especially for the ability to print documents you've received.

Feel free to contact us at (512) 250-1168 or via email at info@advancedmassage.com



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(512) 250-1168   1001 Cypress Creek Rd  Suite 201  

To pay with money order or check, download this PDF file. Print it, fill it out and mail it  with payment  to the address on the registration form.
Alternatively, print this page, fill in the registration form portion below and continue as directed above.

To pay by credit card, see instructions at the end of the registration form.


In all cases, please read the registration form carefully.  Call or email us with any questions.  Thank You!  We look forward to seeing you in the SMART Massage classes..

Limited Seating Available

To register for the SMART Massage classes

Name on CE Certificate
Address
City State Zip Code
Home Phone Alt Phone Work Phone
Place of Employment Email address
Limited Seating Available
SMART-Massage - The Essentials - Continuing Education Classes  (choose one)
Cedar Park  Sat/Sun  September 13 & 14, 2008  2pm-8pm  12 CE Hours
$175 by September 1    $195 after September 1
Next class TBD
To pay by check or money order, mail this registration form (see above) and your payment to the address at right.  Make checks & money orders out to Advanced Therapeutic Massage.   Advanced Therapeutic Massage
1001 Cypress Creek Rd  #201
Cedar Park, TX  78613
(512) 250-1168
advanced.massage@sbcglobal.net
To pay using a credit card or PayPal use the buttons below.  
AFTER you  this form.  
Registration and money will meet at Advanced Massage.
Paypal is a secure service.  By clicking the button below,you will be taken to PayPal's site, be given a choice to use a CC or to login to your PayPal account, use their secure transaction service and be given a receipt for your transaction.   If you have any questions, please email or call us.
Pay by September 1
$175.00
After September 1
$195
.00

REGISTRATION for SMART - Massage Classes