2017  level 3  RESIDENTIAL  APPLICATION

SUMMER PPN INTENSIVE  with  KEN  &  MYRNA MARTIN

NEAR NELSON, B.C.

JULY 10  -  July 21, 2017

Name *
Name
Do you have difficulty walking on uneven ground? *
This is important to know for determining where you will reside on the property.
May We Share Your Contact Information with Your Cohort to Assist with Arranging Travel *
Is This Your First Time Working with Myrna or Are You a Returnee? *

PAYMENT INSTRUCTIONS

Please submit a deposit of  $500 to reserve your space  
The remainder of the tuition ($1100) will be due one month before class begins
 Make cheques or money orders payable to Myrna Martin
Bank etransfers are to myrna@myrnamartin.net  
Click Here for Details About Food and Accommodations 
Visa and MasterCard also accepted through PAYPAL    Additional fees may apply  

 Please call or email Myrna Martin for more details.

PERSONAL PHOTO NEEDED

Finally, please upload and email a recent photo of yourself to Myrna at: myrna@myrnamartin.net

Include your name and the Workshop Dates you are applying for.