Applied Intuition: Introduction to Clairvoyant Healing Course Registration

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

To register for Applied Intuition classes fill out the form below and hit send. You will be emailed a confirmation and additional information. Classes are currently or over Zoom Video Conferencing. If you have questions or need more information please contact Tahara Ezrahti at (805) 364-0195 or email appliedintuition@cox.net.

First Name *

Last Name *

Email *

Phone *

Address

City

State

Zip Code

Time Zone
*

How did you hear about the class?

Friend

Social Media

Flyer

Other

What do you hope to get out of this class?

Class Deposit: Reserve Your Space *

You may attend the first class for free to see if it is a good fit. Classes are small to provide individual attention. It is recommended that you reserve your space with a $20 deposit through Pay Pal or by check. If you attend the first class and decide not to continue, your deposit will be refunded. If you choose not to place a deposit you may still attend the first class for free as long as there is space.

I will placed a $20 deposit through Pay Pal at http://www.appliedintuition.org/store/ (Scroll down to "Class Deposit")

I will mail the $20 deposit using a check. Mail to Applied Intuition, PO Box 60103, Santa Barbara, CA 93160

I do not want to place a deposit at this time

Anything else you would like to share?

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. - Terms of Service - Privacy Policy

Does this form look suspicious? Report

Forms