Tao of Trauma Installment Payment

Name*

Email*

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Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone Number*

Tao of Trauma Cohort*

Which cohort are you in?

In Person in Silver Spring, MD
In Person in Thousand Oaks, CA
Virtual Live-Stream

BIPOC, LGBTQ+, or First-Generation Immigrant?

Check this box if you registered with the 25% discount

BIPOC, LGBTQ+, or first-generation immigrant

I am making an installment payment for:

2023-24 Tao of Trauma series, Two payments @ $1,100 each
2023-24 Tao of Trauma series, Four payments @ $550 each
Other (different amount please fill in below)

I am making an installment payment for:

Fees reflect 25% discount

2023-24 Tao of Trauma series, Two payments @ $825 each
2023-24 Tao of Trauma series, Four payments @ $412.50 each
Other (different amount please fill in below)

Other Payment Amount

Please enter your payment amount here.

Payment Method*

Checks should be made payable to "Integrative Healing, LLC" and mailed to Integrative Healing, LLC, PO Box 204, Hyattsville, MD 20781.

Credit Card
Check

Total

$0.00

Credit Card

Card Details

Cardholder Name

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