Registration Form - West Coast Academy of Feng Shui

Teleseminars
Feng Shui For The Western World

Note:  Please print t& fill out by hand to return via Mail, Email, or Fax !
or you may call 650.712.9181 to register by phone
 

I.  Workshop Information:

Date of Workshop: ________________________

 

Price of Workshop: ___$25.00___

II.  Personal Information:

Name: ____________________________________________________________

Mailing Address: ____________________________________________________

                          ____________________________________________________

Home Phone: __________________________  Work Phone: _________________

Email Address: _____________________________________________________

III.  Payment Information:

      Please choose which payment method you would like to use:

• Visa

• MasterCard

• American Express

• Personal Check - make check payable to West Coast Academy of Feng Shui    

Name as it appears on credit card: ______________________________________

Card number: _____________________________________ Exp date: _________

For more information: 

IV.  Please mail or fax the completed form to:

West Coast Academy of Feng Shui

PO Box 371627

Montara, CA 94037

 

Fax: 1.866.347.7162

Call: 650.712.9181

Email: ericasofrina@comcast.net