REGISTER HERE NOW ON OUR SECURE
SERVER
Name:
IMPORTANT: If more than one person is in your party, each
person must fill out a separate form and submit it
separately.
Billing Street Address:
City:
State or Province:
Zip or Postal Code:
Country:
Area Code and Phone:
*E-mail
Address: *(REQUIRED)
*Type E-mail Address
again here: *(REQUIRED)
MAKE YOUR
TELESEMINAR SELECTIONS HERE
Please make
your Teleseminar selection below. Scroll down and click on the
Teleseminar choice that you wish to select. All Teleseminar fees
are in U.S. Dollars.
IMPORTANT: If
more than one person is in your party, each person must fill out a
separate form and submit it separately.
BARGAIN PRICE
of only $359 for all 4
Teleseminars
Replay of Part 1:
Healing Psychic Sponge Syndrome: FREE
Replay of Part 2:
Healing Ghosts and Apparitions $199
Replay of Part 3:
Healing Psychic Vampires, Bonds, Karmic Ties: $199
Part 4: Healing
Negative Thoughts and Emotions: $199
SCROLL DOWN TO
COMPLETE THIS FORM AND SEND IT.
METHOD OF PAYMENT
Important note: You can make your full payment now via
Mastercard, Visa, American Express, or Discover Card. Please select
here how you wish to pay for your Teleseminar fee.
Please charge my bankcard now for my full
Teleseminar fee via:
Mastercard
Visa
Discover Card
American Express
Amount
of full payment in US Dollars (see fee schedule
above):
*Bankcard
Number #*(REQUIRED)
(Please double-check your number
for accuracy now.)
*3- or 4-
digit numeric security code number *(REQUIRED) (usually
found on back of your credit card, on or near signature strip--last
3 or 4 digits, right after your credit card number):
*Expiration
Date: *(REQUIRED)
(Please
make sure that your expiration date includes both the month and
year.)
Any
questions?
Want to speak
to us on the phone before registering, or do you want to register
by phone?
Call and leave
a message 24 hours a day: 212-946-5132. We will phone you
back.
Or send us an email: 
Any special
requests or questions? Write here:
Thank you for
registering for the Teleseminar(s).
MAKE A MISTAKE
ON YOUR FORM? CLICK HERE NOW:
TO REGISTER, CLICK HERE NOW:
If you have
any trouble submitting this form, or if you get an error
message:
Please send us an email: 