Awakening the Illuminated Heart Workshop facilitated by Josée ...

Please complete this registration form and return to:
P.O. Box 1307, St-Isidore, Alberta, Canada T0H 3B0
Phone: (780) 624-2423
email: joseeboulianne@gmail.com
Awakening the Illuminated Heart Workshop facilitated
by Josée Boulianne
October 17th - October 21st 2012
Quantum Leaps Lodge, Golden, BC
APPLICATION FORM
Name: ____________________________________________________________
Birth date: ___________________________ Male: ________ Female: _______
Profession: _________________________________________________________
Home phone: ____________________ Work phone: ________________________
Fax: ____________________ E-mail: ____________________________________
Address: ____________________________________________________________
City: ________________ Province: ______________ Postal Code: _____________
The workshop fee of 333$ is payable on the first morning.
( ) I will be paying by check made out to Josée Boulianne
( ) I will be paying cash
( ) Pay pal (via email before the workshop)
It is recommended to read the first three of Drunvalo’s books: “The Ancient Secret of the Flower of Life”,
Volume I and II, and “Living in the Heart”.

If you need more room to answer the following questions, please write them
on a separate piece of paper and attach them to your application.
1. What do you wish to get from this Workshop
_______________________________________________________________________________
2. What is your professional background and training
Have you been to Flower of life, living in the heart workshop Where and
when
__________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
3. Do you have any special needs. Food Handicapped Other
_______________________________________________________________________________
4. Have you read the books, Flower of Life 1 & 2, and Living in the Heart
_______________________________________________________________________________
If you have any questions regarding the workshop, the completion
of the application or methods of payment, please contact me at:
(780) 274-0012
or email: joseeboulianne@gmail.com
In the one spirit,
Josée