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
11417 Tanbark Drive, Reston, VA 20191   
703-620-4509 (phone)  
703-620-4504 (fax)

Quantity
Audio Series Name
Format
Cost
Amount
Enclosed

Healing from the Core 10-Session Comprehensive Series

CD

$99

Healing from the Core 3-Session Mini-Series
(Session 1, 2, and 3 of the ten session series)

CD

$39

The Five Principles of Living Joyfully
(Session 1 of the ten session series only)

CD

$18

Basic Relaxation and Energizing Exercise
(Session 2 of the ten session series only)

Cassette

$10

Basic Relaxation and Energizing Exercise
(Session 2 of the ten session series only)

CD

$18

Release & Renewal New Year CD set

2 CDs

$35

2000 Continuum & The Healing Process: Embryogenesis

DVD

$300

2001 Continuum & The Healing Process: Trauma Recovery

DVD

$240

2002 Continuum & The Healing Process: The Visual System

DVD

$270

2003 Continuum & The Healing Process: Optimum Brain Function

DVD

$240

2004 Continuum and The Healing Process: Immune System I

DVD

$300

2005 Continuum and The Healing Process: Immune System II

DVD

$300

2006 Continuum and The Healing Process: Essence of the Heart

DVD

$300

2007 Continuum and The Healing Process: Quantum Brain

DVD

$300

Virginia residents add 5% tax
Shipping - Audio Series $7 first set, $4 each additional item
Continuum & Healing (DVD) $14, $5 each additional item
Audio/Video Total
 
Continuum Seminars
Dates
Price
Total
 "Continuum and the Healing Process: The Undiscovered Body"
        Reston, Virginia (30 CEU contact hours)
 Oct. 24 - 28, 2008
$795
Seminar Total
 
GRAND TOTAL: $____________________
 
Billing Details
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[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.]
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Billing Information (enter the following exactly as it appears on your credit card statement)
Name
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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
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Address
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