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Please print out this form and mail to ADOBE P.O.Box 38658 Phoenix, AZ 85069

Workshop Registration and Membership Form:


Name:______________________________________________________

Address:____________________________________________________

City:_______________________________________________________

State:________________Zip:___________________________________

Phone:_____________________________________________________

E-mail:_____________________________________________________

Profession:__________________________________________________

Training Date Selected:________________________________________

ADOBE / DONA Membership $75:

 Please start my one-year ADOBE / DONA Membership. Membership runs from December 1st to November 30th.
Yes, I would like my name listed for Doula clients referrals through DONA.

Supporting the Woman in Labor $285:

Please enroll me in the Doula Training Workshop. I have specified the date of training in the Training Date Selected field above.
 
  • Cancellations will be accepted with a written request, less a $25 administration fee.
  • Upon receipt of registration, a confirmation letter and location map will be sent.
  • Make check or money order payable to:

    •

    ADOBE
    P.O. Box 38658
    Phoenix, AZ 85069

 

 



 
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