Mindfulness-Based Stress ReductionCourse Registration Name * First Name Last Name Address Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Email * How did you hear about us? Preferred contact method: Email Phone Course date requested January 23 - March 15, 2023 (virtual) Course Fee * Supporter Rate ($600) Base Rate ($550) Subsidized Rate ($400) Terms & Conditions: * You are eligible for a full refund minus a $50.00 service fee until 14 days prior to the course start. If cancellation occurs within less than 14 days you are entitled to a 50% refund. Once the class begins there is no refund. Yes, I agree to the Terms & Conditions Thank you for your registration - we’ll be in contact with you as soon as possible.