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Online Payment Application Form

REGISTRATION FORM:


To register your intention to participate in a General Shamanic Event or class, please fill all fields then click the SUBMIT button.

I choose to participate in the following Shamanic Event.

Event Date:

Event Location:

Name:

Email:

Phone:

Address

City:

State:

Zip Code:

Astrological Information
Please include Birth City, State & Country

Date of Birth

Time of Birth:

Birth Place:

Comments:



 < Enter Verification Code


 

After Registering by Submitting the above form you will be directed to the Purchase Page to send your Online Payment or Deposit using PayPal or a Major Credit Card. 

You may also register and pay via the postal service using our 
Print and Mail Option
 

Deposits are non-refundable.

If for any reason Jade Wah'oo Grigori should cancel a Shamanic Event or Class all deposits and payments will be returned in full.

Last Updated on Wednesday, 04 March 2009 14:39
 
 
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