Reiki I&II Classs Enrollment Form

Usui-Holy Fire® III, Reiki I & II

Please fill in the form below and select your class date and payment method.
Full Name*

First NameLast Name
Preferred Name for Class Certificate *
Phone-Mobile Number*

Area CodePhone Number
E-mail*
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Select your Reiki I&II Class Date*
I give permission for my contact details (email and/or phone number) to be shared with my classmates at the end of class*

YesNo
I consent to data I submit here being collected and stored.*

I consent
Usui-Holy Fire® III, Reiki I & II, Full Tuition of $545.00.

Payments are accepted via PayPal. You do not need a PayPal account.

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For other payment options,

please contact Jennifer Brodigan at

Jennifer@ReikiTheHolyGift.com or 503-881-1010.
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Reiki I&II$545.00
Usui-Holy Fire® III Reiki I&II

Total $0.00

Payment Methods

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Choose from one of the PayPal options to make your payment.

Usui-Holy Fire® III, Reiki I & II