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Mail-in Registration Form - Healing Arts Connection

Register On-Line, call or print and complete this form and mail with payment to:

Healing Arts Connection ~ POB 35481~ Phoenix, AZ 85069
623.215.7988 www.info@How2Heal.com info@How2Heal.com

Please register me for the following seminars:

Seminar	Dates	Fee	Total
Reiki Package	Reiki I, II, III/Master	$330
Reiki Package-2	Reiki I & II or II & III/Master	$230
CSBT Package	CSBT I, II & III	$1200
CSBT Package -2	CSBT I & II or II & III	$800
Other:






Total Due:

Name and credentials exactly as you wish them to appear on your seminar certificate (Please Print Clearly)

Name: _____________________________________________________________________________________

Address: ___________________________________________________________________________________

City/State: __________________________________________ Zip Code: ____________________________

Phone: ________________________________________ E-mail: _____________________________________

Method of Payment: Cash Check Visa MasterCard AMEX PAYPAL

Card #: __ __ __ __ - __ __ __ __ - __ __ __ __ - __ __ __ __ Exp. Date: __ __ /__ __ CVV2 Indicator __ __ __

Amount Enclosed or Authorized: Authorized Signature:

Please complete the following if billing information is different than registrant's information.

Name on Credit Card: Zip Code:

Billing Address: City/State:

Who referred you to Healing Arts Connection? ___________________________________________
Thank you for choosing Healing Arts Connection!

100% guarantee. If you do not feel you have gotten your money's worth, we will refund your entire fee!
Simply turn in your seminar materials by the end of the first day for a full refund.