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PAYMENT INFORMATION
We accept Visa, MasterCard, American Express and Discover.

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BACKGROUND AND PREFERENCES

MY PURPOSE FOR WANTING TO ATTEND THIS SESSION IS:

I WISH TO ATTEND:
  A SESSION ALONE          A SESSION WITH ONE OTHER  
  A SESSION WITH TWO OTHERS    

PLEASE GIVE DETAILS IF YOU HAVE ALREADY ARRANGED TO ATTEND WITH OTHERS: 

MY PREFERENCES FOR THE DATES ARE:

FIRST CHOICE
  SECOND CHOICE
  THIRD CHOICE

MY MEAL CHOICES ARE:
 
   VEGETARIAN        MEAT              POULTRY     
  VEGAN      FISH ONLY       FISH OR POULTRY 

BREAKFAST SELECTIONS:
 
   CEREALS        OATMEAL              WAFFLES     
  EGGS      BACON, SAUSAGE, HAM       TOAST, ENG. MUFFINS 

PLEASE DETAIL YOUR FAVORITE 
BREAKFASTS AND YOUR FAVORITE BREADS, CEREALS, AND MEATS:

   FRUIT       YOGURT 
  COCOA    COFFEE    DECAF. COFFEE     TEA     JUICE

PLEASE DETAIL YOUR FAVORITE FRUITS, YOGURTS, JUICES, AND OTHER DRINKS: 
 

WHAT LUNCHEON FOODS DO YOU LIKE THE MOST (PLEASE BE SPECIFIC):

WHAT FOODS DO YOU NOT EAT (PLEASE BE SPECIFIC)?