Thank you for choosing to become a certified Dewey Consultant. Please answer the questions below and press the "Continue" button at the bottom of the page. After your answers and payment have been processed, you will recieve a confirmation email from Julianna Hind, Northwest School of Interior Redesign and a payment reciept from PayPal.

Contact Information

* First Name

* Last Name

Title

Name of Your Business:

Business Website:

* Address

Suite or Apartment Number:

* City

* State

* Postal Code

* Phone Number:

Fax

* Email Address:

Course Information

* 2008 Schedule
Please indicate date and location you wish to attend:

May 29th-30th (Thr-Fri) Federal Way, WA

* Meal Preference for Lunch

Special Requirements

Name one thing you would like to learn in this class.

* How did you hear about this course?

Dewey Color Mission Statement

"As a certified Dewey Color Consultant, I will skillfully guide clients in choosing by-room color pallettes that inspire and transform their lives."

* Initial below to acknowlege your acceptance of the Dewey Color Mission Statement:

Emergency Contact Information

* Full Name

* Phone Number

Email Address

* Relationship to You:

Physician

Phone Number

Insurance Provider/Policy Number

Course Payment

* Consultant Course Price

Notice of Cancellation/Refund of fees:Refund of fees paid, minus a $150 cancellation fee if cancelled prior to 2 weeks before class. If cancelled less than 2 weeks before class a refund of the fees paid, minus $350 applies. Canellation must be reieved in writing.

Register for Dewey Color Consultant Certification Class Full Registration: $1,195.00

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