Your Name as you would like it to appear on your Certificate

E-mail address

Where you will want your Certificate mailed:
Street Address
City
Region
Select your Country Canada United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cambodia Cameroon Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling Islands) Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire (Ivory Coast) Croatia (Hrvatska) Cuba Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France France, Metropolitan French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea-Bissau Guyana Haiti Heard and McDonald Islands Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea (North) Korea (South) Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Reunion Romania Russian Federation Rwanda Saint Kitts and Nevis Saint Lucia Saint Vincent and The Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Seychelles Sierra Leone Singapore Slovak Republic Slovenia Solomon Islands Somalia South Africa S. Georgia and S. Sandwich Isls. Spain Sri Lanka St. Helena St. Pierre and Miquelon Sudan Suriname Svalbard and Jan Mayen Islands Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom US Minor Outlying Islands Uruguay Uzbekistan Vanuatu Vatican City State (Holy See) Venezuela Viet Nam Virgin Islands (British) Virgin Islands (US) Wallis and Futuna Islands Western Sahara Yemen Yugoslavia Zaire Zambia Zimbabwe Country
Postal/Zip Code

Other Information:
Telephone Number
Month of Birth January February March April May June July August September October November December Day of Birth 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 7 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year of Birth 1901 1902 1903 1904 1905 1906 1907 1908 1909 1910 1911 1912 1913 1914 1915 1916 1917 1918 1919 1920 1921 1922 1923 1924 1925 1926 1927 1928 1929 1930 1931 1932 1933 1934 1935 1936 1937 1938 1939 1940 1941 1942 1943 1944 1945 1946 1947 1948 1949 1950 1951 1952 1953 1954 1955 1956 1957 1958 1959 1960 1961 1962 1963 1964 1965 1966 1967 1968 1969 1970 1971 1972 1973 1974 1975 1976 1977 1978 1979 1980 1981 1982 1983 1984 1985 1986 1987 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000  Birthday

Please Register me for the following on line course: NB: All prices are USD

Subject Area	Classes	Requirements
Usui Reiki	Level I @ 100.00	None
	Level II @ $200.00	Reiki I
	Level III @ $450.00	Reiki II
	Levels I & II @ $275.00	None
	Levels II & III @ $600.00	Reiki I
	Levels I, II & III @ $700.00	None
Karuna Reiki	Karuna I @ $150.00	Reiki II
	Karuna II @ $150.00	Karuna I
	Karuna Master @ $300.00	Reiki Master
Lightarian Reiki	Buddhic Boost, Plus Levels I & II @ $360.00	Reiki Master
	Level I & II @ $300.00	Karuna Master or Buddhic Boost
	Level III @ $75.00	Lightarian I & II
	Levels IV @ $75.00	Lightarian III
	Levels V & VI @ $75.00	Lightarian IV
Lightarian Clearing	Level 1: Path Clearing @ $345.00	None
	Level 2: Birth Pattern Removal @ $95.00	Level 1
	Level 3: Template Clearing @ $95.00	Level 2
	Level 4: Attachment Removal @ $95.00	Level 3
	Level 5: Lineage Clearing @ $95.00	Level 4
	Level 6: Veil Removal @ $95.00	Level 5
Lightarian Rays	Empowerment Ray @ $195.00	None
	Manifestation Ray @ $195.00	None
	Activation Ray @ $195.00	None
	Healing Ray @ $195.00	None
	Clearing Ray @ $395.00	None