REVEAL the REAL YOU retreat banner

Retreat Registration

“Change Your Mind, Create New Results”
the Neuro Change Solutions (NCS) program
created by Dr. Joe Dispenza

Facilitated by Anne Palmer

REVEAL the REAL YOU

Complete the form below to join the 3-Day Retreat on September 20, 21, and 22, 2024

Only 20 spaces available!

Name

First Name

Last Name

Email

Phone

(###)

###

####

What do you hope to gain from this workshop?

Do you have any food allergies?

Yes

No

(If yes, please list)

COST

Early Bird Special

Pay by September 15
$1533

After September 15

Registration
$2000 (Cash or Check) - $2070 (Credit Card)

Bring-A-Friend Special
$1700 Each (Cash or Check) - $1760 (Credit Card)

Cash payments can be dropped off at:
Brow Diva, 3025 Monroe Avenue, Suite 103, Rochester, NY 14618

Checks can be mailed or dropped off at:
Brow Diva, 3025 Monroe Avenue, Suite 103, Rochester, NY 14618

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