The Energy Experience Online Registration

About your privacy
Registrant Information

* Indicates required field

*First Name   *Last Name

*Street Address

*City    *State     *Zip Code

Phone Numbers:  *Day   * Evening   Mobile

*Preferred Phone Contact:  Day  Evening   Mobile

E-mail

How did you hear about PathFinder’s classes?

Class Flyer  Brochure  Friend-Specify Name

Ads:

On the Web:   

*Select a payment option

Credit Card Payment To Be Posted To PayPal
With this payment option, full payment for the entire series  is required.

Payment At Each Class Meeting
With this payment option, you will pay $20 by cash or check when you come to each class.

 Future Notifications
Please notify me of upcoming PathFinder Reiki class dates as they are scheduled.
Please notify me of general PathFinder updates, news and events.
Please notify me of classes or events with Texas massage therapy CE credit.
Please notify me of other events or classes sponsored by PathFinder’s friends and colleagues.

Before You Submit:  Please print this form as a record of your registration. If you are paying by credit card and choose not to print, make a note of the $80 dollar payment due. You will need to enter this at the PayPal site linked from the upcoming page.