Animal Reiki
Registration
Form
Please print this
form, fill it out and send with your check or money order to:
Mystical Sciences Institute
P.O. Box 1146, Evanston, IL 60204
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Date
of Class:
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June
1 and June 29 |
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Time
of Class:
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1:00-6:00pm |
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Location:
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2153 Ashland
Ave Suite #3 Evanston IL 60201
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Name
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Address
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City,
State & Zip
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Telephone
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Email
address
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Correct
name for certificate
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Total
Amount Submitted
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$
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Check
or
Money Order #
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The
Fee is $200 per person.
All students must be registered and paid in full by June 1, 2008. You
will receive a confirmation call following the receipt.
Visa/MC/American
Express/Discover accepted.
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Office
use only
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| Date
Rec'd |
initials
of staff member
recording info |
| Date
Data entry complete |
Date
confirmation call |
date
Filed/assigned
books & material |