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REGISTRATION FORM
Thank you for taking that
next step in your journey! I'm
honored to be your teacher!
You may print and mail this
form with your deposit check for the course, or use the paypal
button on the left to send your deposit via credit card.
Name:____________________________________________________________
Address:
__________________________________________________________
__________________________________________________________
City:
________________________________ State: _______ Zip
___________
Country:
____________________________________________________________
Phone:
_____________________________________________________________
Email:
______________________________________________________________
I am registering for the
course:
_____________________________________________________________________
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Deposit amount
$500 for all others &
Mail to :
Inner Harmony
825 Lovers Leap Rd
Leechburg PA 15656
Or
EMAIL ME this page and
we can arrange payment options! |
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