Earth and Sky Healing

Shamanic Journey

and Your Power Animal

Workshop Enrollment

Workshop:

EnrolDate:

Last Name: First Name:

Address: No: Street:

City: Prov: Post Code:

Area code: Work Phone: Home Phone:

Email add:

Payment of $85.00 can be by internet (credit card) or by sending a cheque directly to:

Jaki Daniels

18 Northmount Cres NW

Calgary, Alberta

T2K 2V5

Mailed Cheque (payable to Earth and Sky Healing)

Credit Card by PayPal (pay below after submitting enrolment form)

Comments and Questions:

To Pay Credit Card Select Below

Calgary

Confirmation of enrolment will be sent out by return email

Copyright 2003 Jaki Daniels	Earth and Sky Healing