Sign up below for the 13-Week Grief Share Session starting Tuesday January 12^th from 6-8PM.

Please provide your credit card information to pay for the book; $15.

Class is free of charge.

First Name *

Last Name *

Email Address *

Telephone

Cost per person *

13 Week Session One Person ($15.00)

13 Week Session Two People ($30.00)

Credit Card Information

Name on Card *

Credit Card Type *

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