MSI
(847) 866-0505


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Reiki Crystal Healing

 

 

 

 

 

 

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info@msi-healing.com

 

 


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


Date of Class:
April 3 New Moon Sunday
Time of Class:
1:00 - 5:00pm
Location:

2153 Ashland Ave Suite 3 Evanston IL. 60201

Name
 
Address
 
City, State & Zip
 
Telephone
 
Email address
 
Correct name for certificate
 
Total Amount Submitted
$
Check or
Money Order #
 

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.

Office use only
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: