Download - Drunvalo Melchizedek

ATIH – AUGUST 2012
Please complete this registration form and return to:
ONE HEART PRODUCTIONS,
c/o Diane Cooper / Dani Lodes
P.O. Box 687, Sedona, AZ 86339 USA
Phone: (928) 204-0874, fax: (928) 282-6791
email: EarthSkyHeart@aol.com
Awakening the Illuminated Heart Workshop with
Drunvalo Melchizedek
August 6 – 10, 2012 ~ 5 days Sedona, Arizona
Sedona Creative Life Center
APPLICATION FORM
Name: __________________________________________________
Birth date: ______________ Male: ____ Female: ____
Profession: ___________________
Home phone: _________________ Work phone: _________________
Fax: ____________________ E-mail: ___________________________
Address: __________________________________________________
City: ________________ State: ______________ Zip: _____________
Country: ____________________________
Along with this application, please include your workshop fee. If you are mailing this
within the last four weeks before the workshop, please mail it 2-day priority mail via the
post office to expedite the processing of your application.
Your fee is non-refundable. However, it may be applied to a future workshop. We make
reservations for the space for the workshop and must prepay, and we are responsible for
your space even if you drop out or change dates for your workshops. Let us know if there
is a change in your situation as soon as you can, and we will do everything we can to help
you. If you are not accepted your payment will be refunded to you in full.
( ) I am paying by Check or Money Order or Bank Draft in the
amount of $777 USD and it is enclosed.
Check should be made to One Heart Productions, LLC.

( ) I am paying by Credit Card in the amount of $777.00 USD.
Credit Card Information:
Name on card: ___________________________________________________
Visa/MC/AE #: ___________________________________________________
Expiration: ________________ 3-Digit Security code ________
Signature: ___________________________________________
( ) I am paying by bank transfer: $777.00
If it is your intention to pay by Bank Transfer, please email us for transfer
details at earthskyheart@aol.com.
Please fax a copy of your bank transfer document to 928 282 6791.
( ) I am paying by PayPal $816.00 to earthskyheart@aol.com (PayPal)
The only prerequisite to enter this teaching is 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”.
You will be notified by email regarding your acceptance into this workshop. If you are not
accepted your funds will be completely refunded to you.
PLEASE DO NOT MAKE YOUR TRAVEL ARRANGEMENTS UNTIL YOU RECEIVE YOUR
ACCEPTANCE LETTER.
If accepted, your fee is non-refundable. However, it may be applied to a future
workshop.
Signature: _________________________ Date:_____________________________
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. Have you received inner permission to attend this workshop
_______________________________________________________
_______________________________________________________
2. Why do you wish to attend this Workshop
_______________________________________________________

3. Have you had any major emotional challenges in life
_________________________________________________________
_________________________________________________________
4. If yes to #3, have you resolved these difficulties, either on your own, with the support
of your facilitator or any other healing Tradition
_________________________________________________________
_________________________________________________________
5. What is your professional background and training
Are you a healer
_________________________________________________________
_________________________________________________________
6. What is the state of your health
_________________________________________________________
_________________________________________________________
7. Do you have any special needs Food Handicapped Other
_________________________________________________________
_________________________________________________________
8. Have you completed the pre-requisites by reading the required 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 call us at
(928) 204-0874 in the U.S.
or fax: (928) 282-6791 U.S.
or email: earthskyheart@aol.com
Please make a note that your credit card charge will appear on your bill under our
business name: ONE HEART PRODUCTIONS LLC.