HOL - Registration Form - Formulaire d'inscription

Inscription HOL Registration

Name - Nom*
First Last
Date of workshop -- Date de l'atelier*
Address - Adresse*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

TEL*
Email*

Payment - Paiement*
Paypal
Interac
Money Order - Mandat de poste
Check - Chèque
Registration - Inscription*
Before early registration date - Avant la date hâtive - $275
After early registration date - Après la date hâtive - $300
Information*
Information about - Info sur "The Barbara Brennan School of Healing"
Future workshops - Ateliers futurs
Where did you hear about this workshop?*
Où avez-vous entendu parler de ce atelier?*
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