REGISTRATION ATIH 1

fee & Finance

* Workshop fee: $350
* The registration form must be completed in full in order to be registered. You will receive an email shortly after your submission to confirm your spot in the workshop.
* Venue - Directions given only to the participants

ATH - REGISTRATION FORM

* Indicates required field

Name *

First

Last

Email *

City *

Phone Number *

Profession *

1. How did you hear about this workshop? (Please mention the source/name of the person): *

2. Have you had any major emotional challenges in life? *

3. If yes to #2, have you resolved these difficulties, either on your own, with the support of your facilitator or any other healing Tradition? *

4. What is the state of your health? *

5. Do you have any special needs? Food? Handicapped? Other? *

Along with this application, please include your workshop fee or deposit. Deposit fees are non-refundable, if you decide to drop the class.
DEPOSIT FEE: $100
Please note a 2.5% non-refundable fee will be applied to Pay Pal orders.

I am paying: *

Deposit $100 Full fee $350

I am paying by : *

Credit Card PayPal Bank transfer

Recommended reading list:

• The Ancient Secret of the Flower of Life, Volumes 1 and 2
• Living In the Heart: How to Enter Into the Sacred Space Within the Heart
• Serpent of Light: Beyond 2012
If you have any questions please do not hesitate to contact me.
Love and Joy,

I register for *

NEW YORK * SEPTEMBER 6-8, 2019 CHICAGO * SEPTEMBER 20-22, 2019 LAS VEGAS * OCTOBER 11-13, 2019

RAluca Heim
Email: heimraluca@yahoo.com

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