Let's Talk About Love - www.letstalkaboutlove.ca

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In order to get information on our workshops or start your registration process please fill in the following information. Once we have received your information we are able to reserve your spot in the workshop you are interested in. Payment can be sent by cheque to the address listed below. You will be contacted by someone within 24 - 48 hours of this registration process. We thank you in advance for your interest in our workshops.

* neccessary fields

Personal Information
First Name:	*
Last Name:	*
Partner's First Name:
Partner's Last Name:
Marital Status:
Address:	*
City:	*	Province:	*
Country:	*
Daytime Phone:	* (i.e. 123-456-7890)	Evening Phone:	* (i.e. 123-456-7890)
Email:	*
Confirm Email:	*
Workshop Information
Workshop:	*
Date:
Options:	Private Group Other
Special Request / Additional Information:
Other Information
How did you hear about us?
Have you taken a workshop with us before?
Are you interested in receiving news and updates on our upcoming workshops?
Wedding Details (i.e. date, parish, priest, etc.)
Payment
Please mail your cheques to: Lydia Waruszynski 2731 Sandmere, St-Lazare, Qc. J7T 2B1