CLASS REGISTRATION FORM

Use this form to REGISTER for desired class(es).

(If you would like to TRANSFER registration from one class to another, please click here to use the Transfer Request Form)

Please check the class(es) you wish to register for:

Adept Initiations into the Brotherhood/Sisterhood of Light
Adam Kadmon
The Kabbalah
Kabbalah Pathworking
Clair-Ascension
Transforming Your Marriage
Ideal Mate
Sacred Divine Geometry
Astral Travel
Gifts of the Spirit
Alchemy
Stress Management
Clearing Negative Emotions Quickly
Emotional Overeating
Indigo Children
Healthy Boundaries
Building Your Light Center
Ritual Master

Please type the date(s), time(s), and location(s) for each class:

Enter any additional comments/questions in the space provided below:

Class Registration Information:

Name
E-mail
E-mail 2
Home Phone
Work Phone
Cell Phone
Pager
Alt. Phone
FAX
Address
City
State	Zip
Country

Please contact me as soon as possible regarding class(es).
Please add me to your e-mail mailing list to receive info on other classes.
Please add me to your snail-mail mailing list to receive info on other classes.

Please select method of payment:

Credit Card (call Clair-Ascension toll-free at 1-888-852-5808 to pay by phone)
Money Order (required for countries outside of the United States)
Personal Check (made out to Clair-Ascension, mail check to Clair-Ascension, P.O. Box 2661, Ann Arbor, MI, 48106-2661).
     amount of class in full
     $100 nonrefundable deposit
         (reminder: remainder of payment in full must be paid by beginning of first class, whether by credit card, money order, or personal check)
I have special financial considerations; please contact me.