Class/ Workshop Registration Form

Using your browser, you can send this page by e-mail to hunakane@mts.net , complete the form from your e-mail program, then send payment by regular mail. 
Alternately you can print out, complete and post with cheque or money order to the address at bottom of form .  Payment can also be made with Visa or MasterCard.  Simply advise of this choice and we will call you on receipt of your Registration Form.

Name: ______________________________________

Address: ____________________________________

City/ Prov. / Postal Code ________________________________

Phone: Home: _________________

Work: _________________

Fax: _________________

e-mail: ______________________________

How did you hear about the course for which you are registering? ___________________________________

I wish to register for: (All fees are in $CDN

_____  Introduction to Hawaiian Huna Kane $275 + GST ($288.75)

_____  Foundations of Hawaiian Huna Kane $700 + GST ($735.00)

_____  BodyMapping of Hawaiian Huna Kane $700 + GST ($735.00)

_____  High Altaring of Hawaiian Huna Kane $275 + GST ($288.75)

_____ FREE Introduction to Psychosomatic Therapy

_____  Module 1 - Psychosomatic Therapy:  The Art of Reading Faces $325 + GST ($341.25)

_____  Module 2 - Psychosomatic Therapy:  Body-Mind Analysis  $650 + GST ($682.50)

_____ Module 3 - Psychosomatic Therapy:  The Language of the Hands $325 + GST ($341.25)

_____  Module 4 - Psychosomatic Therapy:  Emotional Anatomy (prerequisite:  Modules 1, 2 & 3) 
            $325 + GST ($341.25)

_____ Module 5 - Psychosomatic Therapy:  Certificate III (prerequisite:  all above Psychosomatic
            Therapy   classes)  $325 + GST ($341.25)

Total of Courses selected:  $___________

Please make cheques/ money orders payable to MML Consulting and send to:

Monique Dorge

236 Lanark St.

Winnipeg, MB, R3N 1L2

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