Covington, Louisiana

Covington, Louisiana

 

January 24, 2020

 

Dreams For Diagnosis, Healing and Guidance

with

Dr. Larry Burk

REGISTRATION FORM 

Registration and tuition  $55.00 (ARE member) $65 (non-member must be received by discount deadline.

Late registration fee - $15.00 – applies if payment not received by deadline date

 

NAME  _____________________________________________________________

 

 

ADDRESS___________________________________________________________

 

E-MAIL _____________________________    

 

CITY, ST, ZIP_________________________________________________________  

 

PHONE (____) ___________________

 

PAYMENT:   _________________________________________________

Check or money order enclosed made out to A.R.E. 

 

If no e-mail for confirmation and directions, include self-addressed stamped envelope so it can be mailed to you 

PLEASE...... INCLUDE FULL NAME, ADDRESS, E-MAIL AND PHONE FOR EACH ATTENDEE

 

Mail registration and payment to:

Marlene Duet, Registrar

20051 Narrow Road

Covington, LA 70435

 

Cancellation policy: See website for refund policy & price discount