YES! I want to enroll in the Primordial Sound Meditation class.

Please keep me on your mailing list for future courses.

Name:

Address:

City, State, Zip:

Phone (H):

Phone (W):

Email:

My non-refundable deposit of $100 is enclosed. (Balance due before start of course.)

My entire workshop fee of $395 is enclosed.
(Fee includes course manual.)

My entire (discounted) workshop fee of __________ is enclosed. (Fee includes course manual.)

Discounts: Ten percent discount for early registration if received six weeks prior to course date. Ten percent discounts for senior citizens, full time students, and groups of two or more.

Refunds: Cancellations received up to 72 hours before the workshop begins are refundable, minus the $100 non-refundable deposit.

Method of Payment
Check 
Money Order 
Visa 
MasterCard 

Account Number: 

Expiration Date: 

Signature: