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Please enroll me/us in the upcoming five-week HypnoBirthing Childbirth
Education Class.
Name: __________________________________________
Class Start Date: __________________________
Hours: ________________________________
Location: __________________________________________
Tuition Fee: $245.00 (Includes textbook, 2 audio practice tapes, and
numerous handouts)
Home Tel. ___________________ Work Tel. _________________
_____________________________________________________________
Address
_____________________________________________________________
City - State - Zip
Heidi Guiliano
5 Harrison Ln
Wakefield, Ma. 01880
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