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Register for Classes, Seminars and Workshops:

Registration one week prior to first class appreciated. Sorry no refunds after first day of class, only class credit. Five Animal Frolics registration by Oct. 20 appreciated. Cancellations for Five Animals by Nov. 3 required for refund, if you cancel after that, class credit at Qi Gong Institute of Rochester only - sorry, no exceptions.

Course Name: _______________________________________

Daytime: ___ Evening: ___

Payment enclosed: ______________

Name(s): _____________________________ Phone # _______________ Email:______________________

Address: _____________________________________ City/State: ______________________ Zip: __________

Please make check payable to Lisa B. O'Shea and mail to 595 Blossom Road Suite 307, Rochester, NY 14610

Please call if you need to make other payment arrangements, (585) 377-2044.

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Qi Gong Institute of Rochester
595 Blossom Road, Suite 307
Rochester, NY 14610

Toll Free: 877.346.4017
Phone: 585.377.2044

Email: lisachi@frontiernet.net