REGISTRATION FORM

(Fill in and print page)

Name
E-mail
Address
City
State
Zip Code
Country
Phone Day
Phone Evening

Seating is limited, so register early to guarantee your place.
Send the above information by email (Please cut and paste) to [email protected].

I wish to attend Feng Shui Professional Course.
Please enrol me for Modules 1 and 2
Please enrol me for Modules 3 and 4
(Delete whichever is inapplicable).

Payment:
Please print and mail this form with US$200 or CAD300 deposit to:

Feng Shui Research Center
175 West Beaver Creek Road, Unit 5
Richmond Hill
Ontario L4B 3M1
Canada

Confirmation of payment will be sent to you through email or snail mail if email account is not available. If you have any questions,
please call (905) 881-8878
or email to [email protected]

Balance will have to be paid 1 month before the class. You will be reminded by email.