PERSONAL AWARENESS, L. L. C.  -  Goals, Solutions, Success                   PH: 248 358 4674           [About Us] [Contact Us]                           

CLASS PRE - REGISTRATION FORM

Please enter the title of the course, course dates, & fees as well as complete all fields before submitting your form. You may also start your registration over the phone. 248 358 4674

 COURSE TITLE:        EMPOWERMENT TRAINING CLASS  - Please place your intitials below to indicate the course in which you are enrolling

                Women's Class - $95 -    Limited Offer $49     

                Men's Class - $155 -       Limited Offer $95      

                COURSE DATE:                mm /   dy /   yr   

                FEE ENCLOSED:  $     

                 ATTENDEE INFORMATION:

                FIRST NAME:          

                 LAST NAME:       

                 ADDRESS:           

                 CITY                       

                 STATE                   

                 ZIP:                         

                 PHONE NO:          

                 EMAIL:                     

                  PAYMENT METHOD: Please initial your payment method

                  Personal Check    

                  Money Order         

                  Cashiers Check    

REGISTRATION INSTRUCTIONS: Print a copy of this form and mail it along with your payment to : Personal Awareness LLC, 22200 W 11 Mile Rd, Ste 792, Southfield, MI 48037

AFTER you've printed a copy of the form click the submit button to forward your pre-registration to us. Please note your registration will not be considered complete until your check or M.O. clears and payment has been received. 

Thank you for your patronage.

TERMS: Should a course require canceling by Personal Awareness  due to unforeseen circumstances, lack of enrollment or an emergency the full amount of your class fee will be refunded by check within 15 days after the scheduled course. The course fee is non refundable unless cancelled within 24 hours of registration by email to info@awarenessprogram.biz or unless cancelled by Personal Awarenes. In the event you are unable to attend your class there is a one time option to reschedule the course to a future class date prior the to start of class depending on availability. There is a reschedule fee of $15. Reschedule requests must be in writing and sent prior to class start to info@awarenessprogram.biz