<form action="https://www.paypal.com/cgi-bin/webscr" method="post" target="_top"><!-- [et_pb_line_break_holder] --><input type="hidden" name="cmd" value="_s-xclick"><!-- [et_pb_line_break_holder] --><input type="hidden" name="hosted_button_id" value="FPDL77NRLDFV8"><!-- [et_pb_line_break_holder] --><table><!-- [et_pb_line_break_holder] --><tr><td><input type="hidden" name="on0" value="Registration Fees">Registration Fees</td></tr><tr><td><select name="os0"><!-- [et_pb_line_break_holder] --> <option value="Early Registration (by September 5)">Early Registration (by September 5) $600.00 USD</option><!-- [et_pb_line_break_holder] --> <option value="Early Registration with Active Duty Military Discount">Early Registration with Active Duty Military Discount $550.00 USD</option><!-- [et_pb_line_break_holder] --> <option value="Standard Registration">Standard Registration $650.00 USD</option><!-- [et_pb_line_break_holder] --> <option value="Standard Registration with Active Duty Military Discount">Standard Registration with Active Duty Military Discount $600.00 USD</option><!-- [et_pb_line_break_holder] --></select> </td></tr><!-- [et_pb_line_break_holder] --></table><!-- [et_pb_line_break_holder] --><input type="hidden" name="currency_code" value="USD"><!-- [et_pb_line_break_holder] --><input type="image" src="https://www.paypalobjects.com/en_US/i/btn/btn_buynowCC_LG.gif" border="0" name="submit" alt="PayPal - The safer, easier way to pay online!"><!-- [et_pb_line_break_holder] --><img alt="" border="0" src="https://happycoupleshealthycommunities.com/wp-content/uploads/2018/07/pixel.gif" width="1" height="1"><!-- [et_pb_line_break_holder] --></form><!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->Thank you for registering for the Art and Science of Love: A Weekend Workshop for Couples, October 6-7, 2018. In order to complete your registration, I will need to speak to you by phone to gather a little more information. The call will only take 10 minutes. I can be reached at 904-289-2954.<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->Please let me know if you would like to schedule a time to connect. I can also be available in the evenings and on weekends with advanced notice. Please let me know what works best for you.<!-- [et_pb_line_break_holder] --><!-- [et_pb_line_break_holder] -->Please note that this call will be completed with each partner separately.<!-- [et_pb_line_break_holder] -->