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

Address:Occupation:

Phone: (Home); (Office); (Mobile)

I am confirming my participation for the course/workshop/event:-   Select Abundance Meditation with Crystal Power Crystal Mandala Walk 2oo9 Crystal Healing Beginner course Crystal Healing Intermediate course Crystal Healing Advance course Crystal Healing Teacher course Crystal Pendulum workshop 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 $220.oo $320.oo $330.oo $360.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) 

 

*Cheque payment :-   Please fill in the details, print the form and mail it togather with cheque made payable to:
Able N Trust (S)
261 Waterloo St., #01-26 Waterloo Centre, Singapore 180261.
Amex payment :-  Please fill in the details and click "Submit"
or call 7000Crystal, 7000MyReiki, 65 6333 9593 / 2 to give the details.