MBSR Course February 15 – April 15 Mindful & Compassionate Communications Your Name* First Last Address* Street Address Address Line 2 City AlbertaBritish ColumbiaManitobaNew BrunswickNewfoundland and LabradorNorthwest TerritoriesNova ScotiaNunavutOntarioPrince Edward IslandQuebecSaskatchewanYukon Province Postal Code Email* Enter Email Confirm Email Phone*Any Additional Comments (i.e. health issues, etc.)?Mindfulness In Your Relationships* Price: You are registering for: Mindfulness In Your Relationships Are you a student with a valid student ID?NoYesCost for students is $40.00Coupon - Enter Coupon Code: MINDFUL40 Type or cut-and-past the code: MINDFUL40 in the above box, and click the APPLY button. Total $ 0.00 CAD Credit Card* American ExpressDiscoverMasterCardVisaSupported Credit Cards: American Express, Discover, MasterCard, Visa Card Number Month010203040506070809101112 Year20252026202720282029203020312032203320342035203620372038203920402041204220432044 Expiration Date Security Code Cardholder Name Cancellation Policy: Please contact Emily as soon as possible if you need to cancel. All the one-day courses are fully refundable up to 48 hours prior to the course. Because the longer 8-week courses have limited spots available, if you cancel less than 14 days prior to the start of the course your deposit is non-refundable (except under exceptional circumstances). Non-refunded deposits are used to fund the scholarship rates for other students with limited resources. Thank you.