May Reiki Training Registration
Reiki One - Saturday 5/4 12 PM -5 PM ///// Reiki Two - Sunday, 5/19 10 AM - 5 PM
Email address *
First Name: *
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Last Name: *
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Street Address: *
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Apt, Suite, Etc.:
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City: *
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State: *
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Zip Code *
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Cell Phone with Area Code *
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Alternate Phone with Area Code
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I am registering for: *
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How will you pay? (Registration is not complete until payment is received.) *
Name as you want it printed on certificate *
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How did you hear about us or our event? *
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