Register for the May, 2019 Class please contact Heather Johnson at 1-541-639-2969 or email her at 4xjohnson@gmail.com
To register for Thailand (January 2020) please contact Solla at solla@sourcetantra.com and please tell her that Sierra sent you on over :-)
I look very forward to seeing you :-)
For other classes, please print and mail this form to:
Dr. Levy
1993 S. Kihei Rd.
Suite 216
Kihei, HI 96753
Or call the confidential line at 808-879-6159.
Let me know that you are coming :-) so
that I can adequately print you the materials, prepare for your arrival and start sending you some Positive energy :-)
Name: ____________________________________
E-Mail: ___________________________________
Address: __________________________________
__________________________________________
Form of Payment (Check, Credit Card–Master Card, Visa, American Express, Paypal, etc.)
____________________________________________________
If Credit card, please include last 3 on the back
Phone Number: _______________________________________