Awakening To Truth
  

 A Journey into Self Realization

Registration Form




Gnostic Intensive Facilitator



  
   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

 

 

 
Gnostic Intensive Facilitator Training July 11- Aug 1 2019

Tuition - $995

Early enrollment by June 20 - $695


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

 Call Linda 619-222-2543

                                              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

 
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