Workshop Ordering  Form

  ^{Reserve your place in a workshop here and you will be emailed with a  confirmation and schedule for the workshop.}

      Please provide the following information:    

Workshop Title	Intuition Development II The Seven Rays of Life/Workshop Reiki I Reiki II Reiki III
Name
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country
Work Phone
Home Phone
Fax
E-mail

	BILLING
Credit card	VISA MasterCard American Express
Cardholder name
Card number
Expiration date	(Example 6/00)

	SHIPPING if different
Street address
Address (cont.)
City
State/Province
Zip/Postal code
Country