Register Online for Reiki Workshops

Fill in registration information here for one or more classes.
You will submit this and then go to a secure site to enter payment information.

You may pay in full, or make the required deposit by check, paypal or credit card (processed by paypal with no paypal account necessary.)

Use the tab key to proceed from field to field.
DO NOT press the Enter/Return key as this will submit the form prematurely.
Click the Submit Button at the bottom when complete.

Contact Information

First Name *

Last Name *

Address

Address line 2

City

State Please select a state AK - Alaska AL - Alabama AZ - Arizona AR - Arkansas CA - California CO - Colorado CT - Connecticut DE - Delaware DC - District of Columbia FL - Florida GA - Georgia HI - Hawaii ID - Idaho IL - Illinois IN - Indiana IA - Iowa KS - Kansas KY - Kentucky LA - Louisiana ME - Maine MD - Maryland MA - Massachusetts MI - Michigan MN - Minnesota MS - Mississippi MO - Missouri MT - Montana NE - Nebraska NV - Nevada NH - New Hampshire NJ - New Jersey NM - New Mexico NY - New York NC - North Carolina ND - North Dakota OH - Ohio OK - Oklahoma OR - Oregon PA - Pennsylvania PR - Puerto Rico RI - Rhode Island SD - South Dakota TN - Tennessee TX - Texas UT - Utah VT - Vermont VA - Virginia WA - Washington WV - West Virginia WI - Wisconsin WY - Wyoming

Zip/Postal Code

Province/Country

Phone

Email *

I want to attend

NOTICE: LIMITED SPACE AVAILABLE FOR SOME WORKSHOPS!
If a class is marked "FULL" send Lourdes an email to ask to be on a waiting list.

September 6-7, 2008 1st Degree Workshop
$150/$50 deposit ($75 to repeat*)
September 13-14, 2008 2nd Degree Workshop
$500/$100 deposit ($100 to repeat*)
September 27-28, 2008 2nd Degree Advanced Topics Workshop
$250/$100 deposit ($100 to repeat*)
October 4-5, 2008 1st Degree Workshop
$150/$50 deposit ($75 to repeat*)
October 11-12, 2008 2nd Degree Workshop
$500/$100 deposit ($100 to repeat*)
October 25, 2008 Past Life Regressions
$75
October 26, 2008 Learn to See Auras
$125
November 8-9, 2008 1st Degree Workshop
$150/$50 deposit ($75 to repeat*)
November 15-16, 2008 2nd Degree Workshop
$500/$100 deposit ($100 to repeat*)

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*I am repeating a workshop I've already taken
with John and Lourdes Gray. I will pay the amount in ( ).

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I've checked both Reiki 2nd Degree and 2nd Degree Advanced.
I will pay the discounted amount of $650/$150 deposit.

How will you pay?

by check
by paypal
by credit card

Comment or question?

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Click to identify Apple Cat Clock Dog Flower Fork Hammer Key Ship Tree	Click to identify Apple Cat Clock Dog Flower Fork Hammer Key Ship Tree	Click to identify Apple Cat Clock Dog Flower Fork Hammer Key Ship Tree

The submit button sends your information to Lourdes Gray.
You'll be taken to the store page to make a payment -- If paying by check, please make out check and mail it to John Harvey Gray and Lourdes Gray, P.O. Box 696, Rindge, NH 03461