RESEARCH • NETWORKING • TRAINING • EARTH HEAL CLINIC • OPERATION EARTH HEAL 
 
   
Equinox - Mayan New Year distant healing event
21 March 2008
 
Participant's registration form 
 
 
To be included as a participant in the March 21 Equinox distant healing event, please:
 

 

Donations:

 

In exchange for the treatment on 21 March, you are asked to make a donation, unless you are signing up for annual membership to Earth Heal. All donations are gratefully received, and enable us to continue with our pro bono work for those who do not have the means to pay for long distance healing work. The actual amount is completely up to each individual, according to their means, in order to make our work available to everyone everywhere. Please e-mail us a copy of the transaction and use your name as a reference, so that we can thank you for your contribution.    

 

Donations made in South Africa and Namibia:

Via direct deposit or internet transfer into this bank account:

First National Bank, cheque account 50060060700 in the name of Earth Heal, branch code: 201709 (Long Street, Cape Town). 

Donations from outside South Africa:

Donations can be made (major credit cards accepted) to our PayPal account, or via international electronic transfer to our bank account in South Africa:

First National Bank, cheque account 50060060700 in the name of Earth Heal, branch code: 201709 (Long Street, Cape Town).
SWIFT number: FIRNZAJJ461

Alternative payment options:

If these options are not suitable for you, we can also accept payments made via Western Union, or cash sent via courier.  Please send us an e-mail with the subject line, "Send alternative payment options, please".

 

Gift vouchers:

 

You may include family members, friends and pets as guest participants in the Equinox event:

 

Participant's details:

I would like to accept your invitation to participate in the March 21 distant healing event!

Delete the option below which does not apply (A or B):

A. I will be participating in this event as a non-member participant, on a once-off donation basis

 

OR

 

B. I am registering for annual Earth Heal membership, and would like to be included in Earth Heal healing events until this time next year 

 

Items 1 - 7 are important for admin purposes and should be completed by all participants.
Items 8 - 13 are not crucial for admin purposes, but give us information which may be relevant to the treatment.  Include the info you would like to send to us, and which you feel may be relevant for you at this time. If you are including guests, it is advisable to get them to complete this form themselves if that is possible.
  1. Full Name:  
  2. Gender (Male/Female):  
  3. Date of birth (If unknown, please give approximate age):  
  4. E-mail address for receiving the reports sent out after the event:
  5. Place of residence (please give nearest city, state and country):
  6. Participant's location on March 21 (if different to place of residence):  
  7. Number of guests I am including (if applicable - family members, friends, pets etc.) 
  8. A short summary of health problems (if applicable):   
  9. Medication being taken (if applicable):
  10. Surgical history (if applicable):  
  11. A short summary of areas of life in which a blockage is being experienced, or where a shift of energy is needed (if applicable):  
  12. Any problems/challenges you would like the treatment to focus on (a short summary):
  13. My personal focus for this event: (complete this if you want to...health, relationships or any area of your life that you would like this the treatment to focus on; can be more than one focus)  

Thank you for registering as a participant in the upcoming Equinox event on 21 March. 

 

Please e-mail this form back to us as soon as possible, and no later than 20 March, 2008.

 

 

The Earth Heal Geoharmonic Research Project is based in Cape Town, South Africa and Alagoas, Brasil

Email: earthhealadmin@gmail.com • Earth Heal blog: http://earthheal.blogspot.com/