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Introductory Mediumship Registration – November 2016

Thank you for your interest in registering for the November 11 - 12, 2016

Luminous Passages Introductory Mediumship Class.  

Please complete this registration form out completely so we can best provide a class that meets your needs.

Name:*
Name for Certificate: (if not completed, your name above will be used)
E-mail:*
Phone:*
-
Address:

We have created a Private Facebook Group for current and previous Introductory Mediumship Class attendees.  

This is a great safe place for people to be able to talk, ask questions, share experiences, etc from the class and from after.  If you would like to be invited to this group, please give us your Facebook information.  

What is your Facebook link?

Please complete the following information for the Introductory Mediumship Class.

Please select your registration level:*

Note:  If you are retaking the class and you bring or refer a friend, you are eligible for a 20% overall discount.  Your friend will be responsible for paying either their registration fees in advance of the class.  Registration is first come, first serve and there are limited spots available!  If you sign up for the Bring a Friend pricing, only one person of the group is entitled to the discount.  The Friend, listed below, must register and pay before the registration deadline of that price (early registration - November 4) or the day of the class (Standard Registration) or you will need to pay for the difference at the time of the class.

Please provide your referral (friends) name:
Do you have any experience with Mediumship?*
What are you looking at learning from this course?
Do you have any specific questions you want answered during this class?
Would you like to be contacted by email about future classes? *
How did you learn about this class?
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