Reiki II Enrollment Form

Class:  Reiki II

Name:

Address:

City:    State: Choose State AK AL AR AZ CA CO CT CD DE FL GA GU HI IA ID IL IN KS KY LA MA MD ME MI MN MO MS MT NC ND NE NH NJ NM NV NY OH OK OR PA PR RI SC SD TN TX UT VA VI VT WA WI WV WY    Zip Code:

Home Phone: Best time to reach me:  Please select time Anytime Morning Afternoon Evening

Work Phone:   Best time to reach me:  Please select time Anytime Morning Afternoon Evening

Cell Phone:   Best time to reach me:  Please select time Anytime Morning Afternoon Evening

Email: @ 
(please enter separately - this helps stop spammers)

Please select preferred class dates:

Please select class Friday, Oct 15 - Saturday Oct 16

Tuition for class is $275 due at start of class.  Pay one week prior to the date of your class and receive a $50 discount.