You may pay now with your
credit card or print this page and mail form to Kay.
To pay by credit
card, enter name and phone number (for contact purposes) in the boxes then click the "Pay Now" button.
Payment will be made through PayPal, Inc. We heartily endorse
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do not have to join PayPal to use your credit card)
Name:
Phone Number:
Or print this page and mail registration
and payment to:
Kay Sheppard LMHC, 1595 Breese St NE, Palm Bay, FL 32905
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Cancellations, Substitutions, Refunds
Payment of fees for any program entails reserving and
guaranteeing your place. Substitutions are allowed with
notification. Late cancellations, four weeks prior to
any event, are not eligible for refunds. Full refunds
will be made in the event that any program is canceled
by Kay Sheppard Inc.
