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 Name Last Name
Preferred Name for Class Certificate *
Phone-Mobile Number *

Area Code Phone Number
E-mail *
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 *

Yes No
I consent to data I submit here being collected and stored. *

I consent
Usui-Holy Fire® III, Reiki I & II, Full Tuition of $410.00.

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 $ 410.00
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Usui-Holy Fire® III, Reiki I&II