Glen Rock, NJ Class Payment Page – Energy Wisdom with Ellen Meredith

Glen Rock, NJ Class Registration & Payment
June 13-14, 2020

Name *

First

Last

Email *

Phone *

Street Address *

City, State, and Zip *

Country *

Please tell us a little about your experience with Energy Medicine. Have you studied any Eden Energy Medicine or any of Ellen Meredith's work? *

Pre-requisite for this class is one year of EEM training or permission from the instructor.

What are your hopes or expectations for this class (if any)? *

Are there any health, mobility, mental health, or learning issues we should be aware of? *

Total Course Fee is $375. A Deposit of $100, or Full Payment, due with registration. Payment of Total Course Fee is due prior to, or on, the first day of class. *

I wish to pay the full $375 (U.S.) fee.
I wish to pay the $100 (U.S.) deposit.
I wish to pay by check.

Please confirm. *

I certifiy that all the information is accurate.

Additional details will be sent with confirmation of registration.

Phone

Glen Rock, NJ Class Registration & Payment
June 13-14, 2020

Glen Rock, New Jersey Class Payment

Pay $375 in full

Pay$100 deposit

Glen Rock, NJ Class Registration & Payment June 13-14, 2020

Glen Rock, New Jersey Class Payment

Pay $375 in full

Pay$100 deposit

Glen Rock, NJ Class Registration & Payment
June 13-14, 2020