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PLEASE MAIL OR FAX THIS FORM TO CLEAR LIGHT ARTS, ADL
Ken Page/Nancy Nester
Post Office Box 1500, Cleveland, Ga 30528

1-800-809-1290 US only, Tel: 706-219-1319 (ofc), Fax: 706-243-4747
CONTACT US


NOTE: All course participants MUST meet eligibility standards and course pre-requisites.

Name: _________________________________________________________________________

Address: _______________________________________________________________________

City: _______________________________________ State: ___________ Zip: ______________

Daytime telephone: _______________________________________________________________

Evening telephone: _______________________________________________________________

Fax: __________________________________________________________________________

e-mail: ________________________________________________________________________

 

Which Course Date/Location are you are signing up for?

_______________________________________________________________________________


Institute of Multidimensional Cellular Healing / Heart & Soul Healing Workshop attended, including location and date:

_______________________________________________________________________________

_______________________________________________________________________________

Heart & Soul Healing private session including location, date and with whom:

_______________________________________________________________________________

Prior program attended: (include location and date):

_______________________________________________________________________________


Do you have the following books:
The Heart of Soul Healing? ____ yes ____ no
The Way It Works? ___yes ___no
Philosophy and Applications Manual? ____ yes ____ no
The End of Time? ____ yes ____ no
The Art of Transference? ____ yes ____ no

What other books, audios or videos from the Institute have you viewed or heard ?

_______________________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________


METHOD OF PAYMENT

__MONEY ORDER __CHECK__MASTERCARD __VISA __DISCOVER

All credits card orders will be charged through our business name: CLEAR LIGHT ARTS, ADL.
Upon request, tuition paid to
our 501(c)(3) not-for-profit organization will receive a tax deductible receipt for the full tuition price.
A minimum deposit of $500.00 is required in order to reserve your space in the 9-day course.

NOTE: Unless other arrangements are made in advance of the course, all tuition and expenses must to be received by Clear Light Arts, ADL not later than five (5) days prior to the start of any course.

Credit card number: ______________________________________________________________

Exp. Date: ____________

Name as it appears on the credit card: ________________________________________________

Signature: ______________________________________________________________________


CONFIRMATIONS:

All course registrants will receive payment confirmation within 1-2 weeks after payment is received. If you do not receive a payment confirmation, please call us at (800) 809-1290 or (706) 219-1319 to verify your course enrollment. In addition, each attendee will receive supplemental information concerning arrival/departure and attendance requirements with their payment confirmation.


CANCELLATIONS:

Cancellations received no later than 14 days prior to the beginning date of any course are subject to a $150.00 administrative fee. Registrants cancelling fewer than 14 days in advance, and up to 48 hours prior to the event are subject to a $250.00 administrative fee. Individuals who fail to attend or cancel within 48 hours are responsible for the entire fee. Substitute registrants must be reported to the Institute prior to the event. In the event of a cancellation by the Institute due to unforeseen circumstances, refunds to registrants will be limited to their full registration fee.

COPYRIGHT © 1995-2011 CLEAR LIGHT ARTS, ADL., Heart & Soul Healing, HSH, Multidimensional Cellular Healing, MCH, Living Light Breath - Unity Consciousness, INscension, The Third Eye of Horus Mystery School, Gates of Quan Yin, Blended Energy, Bio-Energetic & Holographic RePatterning, are all trademarked names belonging to Ken Page, Rev. Nancy Nester and Clear Light Arts, ADL. All text, graphics and contents© 1995-2011, Clear Light Arts, ADL, unless otherwise noted. Use purpose must be granted by the copyright holder. Unauthorized use, alteration, transformation or reuse is strictly prohibited.

 

Clear Light Arts, ADL
Heart & Soul Healing™
Institute of Multidimensional Cellular Healing™
Ancient Wisdom Spiritual Centre, ADL
Third Eye of Horus Mystery School™
The Red School™
Post Office Box 1500
Cleveland, GA 30528
800-809-1290 - US only
706-219-1319 - Tel (ofc)
706-223-0291 - Fax
Contact Us