BASIC DOULA TRAINING REGISTRATION FORM

Requires a minimum of 5 participants to set a date/time. $100 non-refundable deposit is due at the time of registration. $100 is due 1 week prior to class to confirm attendance (non-refundable), and the remainder is due the day of class.

Alternative payment arrangements may be made that extend past the first day of class. To do so, you must consent to an automatic debit of at least $25/mo. You can not complete the program until ALL tuition is paid in full.

Group (over 10 participants), military, and hospital employee discounts available!


Please either pay your down payment here, with paypal on my website at http://breathoflifemidwifery.webs.com/apps/webstore/products, or by mailing a check to:

Crystal Fink CPM, LM
1917 Franklin Rd. SW Suite 102C
Roanoke, VA 24014

Please call (540) 676-7288 with any questions or email breathoflifemidwife@yahoo.com.

THANKS!!!

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