NAME(s) _______________________________ _______________________________ _______________________________ _______________________________ _______________________________ _______________________________
ADDRESS _______________________________ _______________________________
PHONE _______________________________
METHOD OF PAYMENT Check___ Visa___ Master Card___
(make checks payable to..... Cherokee Ridge)
Credit Card # _______________________________
Exp. Date _______________________________ Signature _______________________________
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***Special Events 2005***
June 21st
___Summer Solstice Serenity Day $45.00
___Full Hour Massage $15.00
___Specify time for Massage (We cannot guarantee your time,but will do our best to accommodate your needs.)
September 9-12
___Native American Balance All 4 Days $60.00
September 9-12
___Native American Balance One Day $20.00
_____Specify Day
Subtotal:__________
Tax:__________
Total:__________
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