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www.healingcenter.ca    www.convergencereiki.com    russ@healingcenter.ca   1-888-584-5478
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Creating your World from the Inside Out
Registration form
Full Name:

Address 1:

Address 2:

City:

Prov/State:


Location of workshop:

Date of workshop:

Phone:

Email:

Training Buck$ - If you wish to take advantage of the bring a friend and receive 50 Training Buck$ enter their name here.

or

If you wish to take advantage of the receive 37 Training Buck$ Check this box.

What are Training Buck$?
When you click on the submit registration button you will be taken to a screen where you will be able to  confirm your registration. Instructions are included with the different options.
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