If you would like to attend any course, please fill out the Registration form and mail to Body Wellness, Center for Wholeness and Health, 1212 Military Rd, Suite D, Benton, AR 72015.  Enrollment is required in advance of the course to ensure adequate accommodations.  In order to keep cost down, if at all possible please pay by Check or Money Order. Upon registration you will receive a confirmation by e-mail if provided. 

Registration for the course titled _____________________________________

____________________ _____________________________________

Date of CourseTime of Course Telephone - Day

_____________________________________________________________

Name(As to appear on Certificate)Telephone - Evening

________________________________________________________________

AddressCityState Zip

E-Mail Address: __________________________________________________

Payment Method  (pay to Body Wellness Academy)

o  Credit Cardo  Checko  Money Order

(Visa, MasterCard)

Card Number  __________-__________-__________ - __________

Expiration Date_________________PIP Number _____________

Signature      ___________________________________

E-Mail: bodywellness@att.net

Phone: 501-590-6633 Little Rock

    501-315-4325 Benton

Print and Mail registration to:Body Wellness Massage Academy

1212 Military Rd, Suite D

Benton, AR 72015

CEU Registration From

Discounts

R=Registration: register at any time prior to the day of class with any form of payment .

E=Early registration: register at least one week in advance & payment by cash, check or money order. 

M=Multipule class early registration: register for 2 or more classes at the same time at least one week in advance & payment is received by cash, check or money order.

It is the Policy of Body Wellness Massage Academy that Refunds will be made only if cancellation is received at least one week prior to course.  There is a standard $25.00 refunding/change fee that applies to all classes.