Reiki
Crystal Healing
Registration
Form
Please print this
form, fill it out and send with your check or money order to:
MSI
2153 Ashland Ave Suite 3 Evanston IL 60201
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Date
of Class:
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April 3 New Moon Sunday | ||
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Time
of Class:
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1:00 - 5:00pm | ||
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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 $95. The program fee is due by or on April 3. There is a limited amount of seating and classes fill up quickly so please mail this form in with your deposit.You will receive a confirmation notice following the receipt of your registration. For your convenience, we are now accepting, Visa, Discover, Mastercard or American Express.
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Office
use only
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| Date Rec'd | initials
of staff member recording info |
date give to BTT |
| Date Data entry complete | Date confirmation call | date
Filed/assigned books & material |
| Date graduated Universal Laws Class: | ||