


Fax / Mail Order Form
More comfortable ordering/registering without the internet?
The form below can be printed out and sent to us via mail or fax.
To
register for Healing From the Core classes, please see the individual
registration instructions for each class click
here |
To
register for Continuum & the Healing Process classes, please fill
out the form below and send/fax to the HFC office. |
MAILING ADDRESS:
Suzanne Scurlock-Durana
P.O. Box 2534
Reston, VA 20195-2534
703-620-4509 (phone)
703-620-4504 (fax)
Quantity |
Title |
Format |
Cost |
Amount Enclosed |
| Full Body Presence Trade Paperback |
Book |
$29.95 |
|
|
| Full Body Presence - Gift Giving Special set of 5 - 10% Savings |
Book |
$134.75 |
|
|
| Full Body Presence - Bulk Order - Ten Copies at 25% Savings |
Book |
$224.50 |
|
|
|
CD |
$99 |
|
||
| Healing
from the Core 3-Session Mini-Series |
CD |
$39 |
|
|
|
The Five Principles of Living Joyfully
|
CD |
$18 |
|
|
|
Basic Relaxation and Energizing Exercise
|
Cassette |
$10 |
|
|
|
Basic Relaxation and Energizing Exercise
|
CD |
$18 |
|
|
|
2 CDs |
$35 |
|
||
|
DVD |
$300 |
|
||
|
DVD |
$240 |
|
||
|
DVD |
$270 |
|
||
|
2003 Continuum & The Healing Process: Optimum Brain Function |
DVD |
$240 |
|
|
|
DVD |
$300 |
|
||
|
DVD |
$300 |
|
||
|
2006 Continuum and The Healing Process: Essence of the Heart |
DVD |
$300 |
|
|
| 2007 Continuum and The Healing Process: Quantum Brain | DVD | $300 | ||
| 2008 Continuum and The Healing Process: The Undiscovered Body | DVD | $300 | ||
| Virginia residents add 5% tax | ||||
| Shipping
- Audio Series or Books $8 first set, $5 each additional
item Continuum & Healing (DVD) $14, $8 each additional item |
||||
| Audio/Video/Book Total | ||||
| Continuum Seminars | Dates |
Price |
Total |
| "Meeting the World with Heart" with Susan Harper Reston, Virginia |
April 16-19, 2010 |
$295/325 (3days) $395/425 (4 days) |
|
| "Continuum and the Healing Process: Waves of Consciousness" Reston, Virginia (30 CEU contact hours) |
Oct. 16 - 20, 2009 |
$745/795 |
|
Seminar
Total |
|||
|
GRAND TOTAL: $____________________
|
| Billing Details | |||||||||
| I will be paying by: | |||||||||
| check | VISA | MasterCard | American Express | Discover | |||||
| Credit Card No: | |||||||||
| Card Verification Number:
[The verification number is a 3-digit number printed on the back of your card. It appears after and to the right of your card number. If you are using American Express, the verification number is a 4-digit number printed on the front of your card. It appears after and to the right of your card number.] |
Expiration Date mm/yy: | ||||||||
| Please charge my payment of $ . | |||||||||
Signature (if paying by credit card) |
|
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| Billing Information (enter the following exactly as it appears on your credit card statement) | |||||||
| Name | |||||||
| Address | |||||||
| City | State | Zip | Country | ||||
| Phone(day) | Phone(eve) | ||||||
| Shipping Address: | |||||||
| HAND CARRIED from class (no need to ship) | |||||||
| PLEASE SHIP -- Not available at class | |||||||
| Use the above billing address as the shipping address | |||||||
| DIFFERENT SHIPPING address below | |||||||
| Name | |||||||
| Address | |||||||
| City | State | Zip | Country | ||||