Up • Register for Discovering Relationship • Intentions • Pay • Couples • What to Bring

Part I
Register for Discovering Relationship
Please begin the registration process by completing the form below and by arranging payment. You may pay in full by check, or with any major credit card via PayPal. You may also pay in installments via PayPal. For these options, click on Pay for Discovering Relationship above.

To pay in installments by check, or to request financial assistance, please contact Steve Blumenthal at stephen.blumenthal@gmail.com or 415.641.8810.

Please be sure to read the cancellation policy below before completing your payment. 

Finally, registration also includes a conversation with Steve to create intentions for yourself in the workshop and then writing those intentions at Part II of the registration form: My Intentions.  Please contact Steve at stephen.blumenthal@gmail.com or 415.641.8810 to arrange this conversation.

Thank you!
 
Name: * (Required)
Email Address: *
Address 1:
Address 2:
City:   State:  Postal Code:
Home Phone:   Work Phone:
Cell Phone:
Birthday:


Cancellation Policy: A full refund (minus a $50 processing fee) is available until  three weeks prior to the program. After that, no refund is given, as it is difficult to fill openings at short notice. This applies to advance and deferred payments.  If an emergency arises, we do consider making an exception.