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The Art and Science of Love - Columbus OH 
January 25-26, 2025
Venue : Embassy Suite Dublin, Ohio

Registration Form

Partner 1

Enter your phone #

Enter you Date of Birth

Address P1

Primary address

Partner 2

Partner Address (If different from P1)

Could you tell us marital status of you & your partner?
Married
Not married / Pre-marital
Prefer not to answer
Where did you hear about this workshop?
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