Awakening To Truth
  

 A Journey into Self Realization

Registration Form




Radiant Goddess



  
   Please print clearly and fill out completely.        Registration Date:  _____________________   

Name

              M / F

Spouse

                           M / F

 

 

 

 

Address

 

Address

 

 

 

 

 

City

 

City

 

State/zip

 

State/zip

 

Home#

 

Home#

 

Cell#

 

Cell#

 

Work#

 

Work#

 

Email

 

Email

 

 

 
Radiant Goddess May 20, 2017

Tuition - $175 

Early enrollment by May 5 - $125


use "drop down on "buy Now" button for deposit option.

 

                                              To pay by credit card, print and fill out the form below
 or go to the "Buy Now" button below
If you desire a Payment Plan, please insert amounts and due dates



Mail checks & form to: Linda Robinson 5342 Auburn Dr.  San Diego CA 92105

 refunds are not available. Transfers will be offered up to 2 weeks prior to program start

Amount

Date Due

Amount

Date Due

 

Amount

Date Due

Amount

Date Due

$

 

$

 

 

$

 

$

 

 

_________________________               ____________                             ___________

Credit card number                                               Expiration date                                        Security Code

 

_____________________________                                 __________________________

Full name on card                                                  Address                                 


    Authorized signature  __________________________________________                  

 

Print this form and fax it to:  (619) 819-9996 or email it to:  awakeningtotruth@cox.net

 

Facilitated by Linda Robinson                   619-222-2543                  www.awakeningtotruth.com

 
Tuition
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