|
The Universal Light Inc. 513-825-8290 |
|
|
|
| Print out this form, circle what you wish to order, and
fill in the information; please send with payment (check or money order) to: Kristen Lauter - PO Box 207, Convent Station New Jersey USA 07961 Holistic Healers Academy will send your information to The Universal Light Inc. to process your order. The usual time frame to receive your certificate is one week. _______________________________________________________________ Minister's Ordination: $75 Transfer of Ordination (please send copy) $35 Ministry Certificate in one or more of the following (each certificate only $15) (only if you have proof of ordination or if you transfer)
Please email TUL@HolisticHealersAcademy.com if you have any questions.
Birthdate: mm/dd/yyyy ________________ Time born__________ AM / PM Place of birth (city) ___________________ First Name ______________ Last Name ________________ Address ____________________________________________ City ________________________ State______________ Zip Code ________________ Home Phone Number ____________________ Email: _____________________ Total amount enclosed ________ Comments:
|