Awakening Energy Registration

Registration Form

Stepping into Emptiness:
An 8-week Online Class with nico hase
Tuesdays, June 11 - July 30
5 pm to 6:30 pm, pacific time
online via Zoom

Your Name*

First NameLast Name

Your E-mail*

Confirmation Emailexample@example.com

About our Donation Model

We are offering this class on a dana (donation) model. The suggested donation is $160 to $480 for the class 8-week class. We gratefully accept contributions of greater or lesser amounts, based on your resources.

Choose Your Donation Amount*

$160 (Supported)$320 (Sustaining)$480 (Benefactor)Other

Other Amount*

Total Donation

Is there anything you would like to let the teachers know?

Total Donation

USD

Payment Methods

Debit or Credit Card

First Name

Last Name

Credit Card Number

Security Code

Card Expiration

Please click one of the PayPal options to complete payment and submit the form.