Interlude in Vermont

Virtual Tour of
Interlude in Vermont

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For Yoga Teachers

Current Dates of Retreats

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Yoga in Vermont

Yoga in Massachusetts

Nourishment Cleanse

Holistic Health Counseling

REGISTRATION FORM FOR NOURISHMENT CLEANSE

First Name:
Last Name:
Address 1
Address 2:
City:
State:
Zip Code:
Country:
Telephone (W):
Telephone (H):
Telephone (Cell):
Email:
I check my email several times a day I check my email once a day Don't do email
COST OF CLEANSE: $175 ( includes workbook and support meetings; suggested supplements to support the cleansing process not included--cost is approximatedly $45)
PLEASE INDICATE PREFERRED CLEANSE SESSION AND MAIL CHECK PAYABLE TO MARCY BALTER BY APRIL 1 TO 129 ROCKPORT ROAD WESTON, MA. 02493 SESSION 1 APRIL 9, 12, 16, 18, 23 11:00AM--1:00 PM SESSION 2 APRIL 9, 12, 16, 18, 23 7:30PM--9:00 PM

PLEASE FILL OUT THE "INTERLUDE" NOURISHMENT CLEANSE HEALTH INTAKE FORM

Interlude in Vermont
Marcy Balter, Owner/Director
South Londonderry, Vermont 05155
Tel:(802) 824-4446 - Fax: (802) 824-3656 - info@interludevt.com

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