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Register Online

This page is for online registration and payment. If you prefer to pay by cash the day of the class – please call our office: 518-477-6566

Please fill in the form below and click Submit .. then choose your payment below

Name:
E-mail:
Phone:
-
Address:
I learned about this program from:

** IMPORTANT:

After filling out and submitting the form above please click on one of the payment buttons below (Advanced or Standard Payment) to be brought to our secure payment page. Your registration is not confirmed until your payment is received.

ADVANCED PAYMENT ONLY $80.00STANDARD PAYMENT - $88.00











 


 

* I understand that if I feel I need further reinforcement (or if I ever start smoking again, I can attend future Venture Inward Quit Smoking Seminars presented by Margaret E. Kaufman absolutely FREE of charge! I understand that 25% of available seating is reserved for repeat registrants; admittance is on a first-come basis; and that i must present a copy of my registration from at the door for admission. I understand that this offer is for me only, and is not transferable.