Enrollment Form For The Tea Academy
123 East Unaka Avenue
Johnson City, Tennessee 37601
(423)926-0123
www.TheTeaAcademy.com

Name:_______________________________________________________________________

Home Address:_____________________________________________________________________

City:______________________________State:_______________ZipCode:_______________

Business Address:____________________________________________________________

City:_____________________________State:_______________Zip Code_______________

Home Phone:_____________________________Cell Phone:________________________

Business Phone:___________________________Fax #_____________________________

E-Mail Address:_______________________________________________________________

Dietary Restricitons or Medical Conditions:_________________________________________

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The fee for your seminar is $1,200.00. A deposit of $300.00 is due at the time of enrollment to secure your position. It is non-refundable after 30 days. The balance of $900.00 is due six weeks prior to your seminar date. A discount of $200.00 is available for tea business owners bringing more than one tea member for the seminar.

You will be responsible for reserving your accomodations and transportation. Whenever possible, discounted accomodations for each seminar will be arranged. Please contact Melanie for a list of hotels for your seminar.

Please complete your enrollment form and send your $300.00 payment to:
The Tea Academy
123 East Unaka Avenue
Johnson City, Tennessee 37601

Or fax it to (423)929-1081. We do accept Visa/Master Card and checks.

I have read and understand the terms of this aggreement. I understand that my $300.00 deposit is non-refundable after 30 days and the balance of $900.00 is due six weeks prior to my Tea Academy Seminar.

I will be attending the Tea Academy on ______________________________________


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___________________________________________Date:__________________________
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