Title: Select Mr Ms Mrs Mdm Dr Name: E-mail: 

Address: Occupation:

Phone: (Home); (Office)

I am confirming my participation for the course/workshop:-   Select Crystal Healing Beginner course Crystal Healing Intermediate course Crystal Healing Advance course Crystal Healing Teacher course Crystal Pendulum workshop Crystal Mandala Walk Crystal Mandala workshop Magick and Meditation Meditation Psychi Development workshop Reiki 1st Degree workshop Reiki 2nd Degree workshop Reiki Master (3A) Reiki Master/Teacher (3B)

                                                                            Date:    Time:

Course/Workshop fee is Select $110.oo $380.oo $390.oo $450.oo $550.oo $750.oo $1500.oo       I will pay by   Cash;   Cheque*;     Amex;  (All major Credit cards and Nets accepted at the shop).

Card Holder's name:    Card No:   4-Digit code:

Card Expiry Date:    Today's Date: (D M Y)    Signature: .....................................

 

*Cheque payment :-   Please fill in the details, print the form and mail it togather with cheque made payable to:
Able N Trust (S)
52 Prinsep Street, #01-01 Prinsep Place, Singapore 188682.
Card payment :-  Please fill in the details and click "Submit"
or call 7000Crystal, 7000MyReiki, 65 6333 9592 / 3 to give the details.