Registration for classes

for Advanced Pranayama for Spiritual Transformation: An All-Day Retreat class; $65 for all day ($58.50 if paid on-line)

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*First name:

*Last name:

*E-mail address:

*Address:

*City

*Zip

*Phone/home: (xxx-xxx-xxxx)

*Work/Cell Phone: (xxx-xxx-xxxx) optional

                    Registering only; will pay $65 at first class.
    Payment: On-line by credit card (a secure transaction) $58.50
                         

(Click on Send to complete the registration process)

 


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Class starting date:

Class code: