Registration for classes

for Death, Dying, Karma, and Reincarnation class
$30 ($27 if paid on-line)

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* required

*First name:

*Last name:

*E-mail address:




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

Phone/work: (optional)

                    Registering only; will pay $30 at first class.
    Payment: On-line by credit card (a secure transaction) $27

(Click on Send to complete the registration process)

For office use only

Class starting date:

Class code: