Freedom and Ease
of
Movement
Application Form

You may print this form and mail it to us with a check made out to Alexander Workshops, LLC. to 815 Villard St., Cheney, WA 99004. You may submit the filled-out form directly from the web site and mail the check separately. And you may pay directly from this web site by credit card. (Take me to the credit card page.) Sorry, credit card payment available only from this web site.

(All fields required.)
Name:
Address: Phone:

City: State: Zip Code:

Country: E-mail Address:

Alexander Experience? (Beginners welcome): Yes:     No:

I have paid by credit card:
I am sending a check for
    $525 (Full tuition):
    $472.50 (Discount tuition):
    $250 (Deposit (Balance due by December 6) .

Please make hotel reservations for me:
     $151.76 Shared occupancy per person ($37.94/night for 4 nights):
     $303.52 Single occupancy ($75.88/night for 4 nights):
     I won't need a hotel room:

After submitting the form, (if you haven't paid by credit card) please send your check to us at Alexander Workshops, LLC., 815 Villard St., Cheney, WA 99004.