WORKSHOP Registration
OR
HOME STUDY PROGRAM  ORDER FORM
Pay by credit card or check Fax, or send by mail
fax it to us at 425-952-9275  or send it to us at
(You can also order or register online using a secure server: www.remoteviewers.com )
The Western Institute of Remote Viewing,  218 Main Street # 634,  Kirkland, WA 98033
waynecarr@remoteviewers.com    1-425-488-5496  Call if you have questions!

Description

 

Price (US$)

Register for a Workshop

Quantity / Attendee Names

$100.00 Deposit:

or Full Payment:
($360 three week
advanced registration)
($390.00 Regular)

  
Workshop City:

 

 Workshop Date:    
Intro RV Home Study Course Quantity: $99.95  
Basic RV Home Study Course   $339.95  

Extended RV Home Study Course

$379.95

  
  I want to Organize a Workshop here please contact me  
  Shipping & Handling for Intro Home Study  $9.95 or
 $39.00 for Outside US & Canada 		 

 

Shipping & Handling for Basic or Extended Home Study

$16.95 or 
$49.00 for Outside US & Canada

  
  Washington Residents only - include 7% sales tax TAX (WA State)  

 

TOTAL:

  

Today’s Date:                    Payment Type:   Check        Money Order      Credit card

Full Name:                                                                              Company Name:

Street:

City:                                              State/Province:                  Zip/Postal Code

Country:                                                                   Phone                             

 Fax:                                                                        E-mail:

Credit Card Information: (fill it out mail it ,   or fax it to us 425-952-9275,   or we can call you to obtain this information)

Visa     MasterCard      Discover      American Express

Name on Card:

Number:                                                                                         Exp. Date:

Comments: