Self Awareness Institute - Innovative Counseling, Therapy and Personal Growth Center

The Self Awareness Weekend is held at least once a month in Sacramento, California.

for an upcoming date.

Remaining Balance Payments

You must already be registered for SAW before using this form. This form does not register you for a weekend—it only allows you to pay the remaining balance of a previous registration and deposit. If you have yet to signup for a Self Awareness Weekend, you may use our standard Registration Form to hold your place and either pay a deposit or the entire amount due.

Registrant Information (please use the name you signed up with originally)

First Name:

Last Name:

Preferred Name:

Today's Date:

Your SAW Date:

Select online payment amount:

$1100 I've paid my deposit, but SAW is less than two weeks away.

$1045 I've paid my deposit and want to pay the remaining balance more than 2 weeks in advance of my weekend to get the Early Payment Discount.

If you haven't already, please be sure and read carefully the General Information and Reminder List and send your completed questionnaires either by email (alambert@12promises.com) or postal mail to the address above, by the Tuesday before your Self-Awareness Weekend.

Self-Awareness Institute
5777 Madison Ave., Suite 307
Sacramento, CA 95841

Questions? Call (916) 966-0411
Or toll free (866) 204-6384

Cancellation Policy:
Any cancellation received with at least one week notice before the Weekend gives you the following options:
1) Receive a refund of your payment less the $150 non-refundable fee, or
2) Apply the amount paid to a future Weekend taken within one year.
No credit or refund is available if you fail to give proper notice, if you do not show up, or if you leave the Weekend early.

If you have any questions, concerns, or would like to have more information... CONTACT US - We would love to hear from you!

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Remaining Balance Payments

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