MANIFESTING THE LIFE YOU WANT!™
October 15 & 16, 2005
Registration Form
Full Name: ___________________________________________________
Address:_____________________________________________________
City: _________________________ State/Prov.
______ Zip Code: _____
Home Phone: ______________Work Phone: ___________Other:
_______
Email
Address:________________________________________________
Three things that you
expect to manifest in your life by participating in this course and continuing
to do this work:
For example:
Ideal Financial
Situation; Ideal Relationship; Ideal Job/Career; etc.
1. __________________________________________________________
2. __________________________________________________________
3. __________________________________________________________
Who referred
you?______________________________________
( )Friend ( )Relative ( )Email Promo (
)Flyer ( )Media Ad ( )Other
Tuition: $199 USD or $249 CAD Dates:
Sat. & Sun. Oct. 15 & 16, 2005
Location: Best
Western Burlington Inn and Suites
2412 Queenway Dr./Burlington, Ontario L7R 3T3
905-639-2700 For Accommodations
Contact Saif Rehmen at the hotel
Payment Options
·
In advance by (
)Check ( )Money Order or ( )Cashier's Check for $199 USD Payable to Joe Rumbolo
or $249 CAD to Tracey Ruggiero
·
In advance online
through PayPal accepting all major credit cards $199 USD + $7 service charge =
$206 USD (Email address for PayPal: Joe@HealingTheUniverse.com)
·
WE ALSO ACCEPT
CASH (but please, not through the mail!)
Please mail all Checks,
Money Orders and Cashiers Checks Payable to Tracey Ruggiero (CAD) or Joe
Rumbolo (USD), WITH
REGISTRATION FORM
To:
Tracey Ruggiero/311 Annabelle/Hamilton, Ontario
Contact Tracey at 905-388-0490 or
Spaceholder@sympatico.ca
Contact Joe at 314-353-3218 or email Joe@HealingTheUniverse.com
Walk-ins the day of the course are
welcome! Cash, Checks & Money Orders are acceptable.
Arrangements for PayPal can be made
in advance.
Signature: ___________________________________Date:____________