The Center of Light in Vermont  
  The Center of Light Home Page              We Accept:        for all programs and services 
Registration Form for:  "Returning to Beauty"
A Shamanic Workshop, including the Peruvian Inca Karpay Initiations
< style="font-family: helvetica,arial,sans-serif;"> in the Exquisite Austrian Alps, with Zacciah Blackburn (USA)
Back to the Training Information  *   Zur Information in Deutsch, bitte hier klicken    

Please call, write or mail to Dinah Arosa at:
Dinah Arosa Marker,  Griesbräustrasse 12, 82418 Murnau, Germany
Tel./Fax (0049)- (0) - 08841-90543,

e-mail: dinah-marker@harmonie-des-seins.de

(Or Zacciah in America:  The Center of Light, PO Box 389, Ascutney, VT  05030  USA,Phone and Fax:  802.674.9585, e-mail:  info@sunreed.com )

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Registration Form  

Please fill out and mail, or fax  to Dinah Arosa or Zacciah Blackburn with payment:
With my signature I acknowledge and accept the conditions of this training as set forth in the information pages contained herein.    The amount of € 150.00 ($ 175.US)  I have either:      (check one)
O     included or mailed by  EuroCheck to Dinah Arosa Marker in this application
O     sent by wire transfer to Dinah Arosa Marker’s account: 
         (Dinah Marker, contact for bank information)
O     included  or mailed  by check or money order ($175. US, deposit; $435 US in full prior to March 12; $450. US there after,)
              to Zacciah Blackburn, or
O     sent by fax, phone, or secure on line order form (underline one, must mail or fax signed form) to Zacciah

Name ........................................................................................................................................................................................

Address.....................................................................................................................................................................................

Telephone/Fax/e-mail………………………………………………………………………………………………………….

<>   Date    …………………………………         Signature........................................................................................
                            
For Credit Card Payment, mail, fax or call with card #, expiration date, name on the card, and your billing address for the card.

Card Number (MC, VISA, or AmEx only:) ....................................................................             Ex Date:  ..........................

Name on Card:  ....................................................  Billing address if different:  .............................................................
                                                                                                                            .............................................................
To register on line, go to our Secure page, and fill in the workshop title on the "instruments' line
(no other fees apply on the secure order form.)


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 The Center of Light in Vermont
   Zacciah Blackburn,    220 Hidden Glen Rd. ,    P.O. Box 389 ,     Ascutney, VT  05030  USA
   Phone & Fax:      (802) 674-9585                      E-Mail info@sunreed.com
                    C   2005 Zacciah, The Center of Light