Course & Seminar Enrollment Form

To enroll in any De Long course or seminar, simply complete and submit the enrollment form.  A representative will contact you for payment details and any other required information.

Please provide the following contact information:

First Name
Last Name
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Country
Work Phone
Home Phone
E-mail

Select the course(s) or seminar(s) you wish to enroll in.

For Ancient Teachings and Reiki classes, a minimum $75 deposit is required.

Ancient Teachings, Creating Wealth and Abundance Class - $150
Ancient Teachings, Level 1 - $500
Ancient Teachings, Level 2 - $650
Ancient Teachings, Level 3 - $2,500
Reiki, First Degree - $200
Reiki, Second Degree - $325
Reiki, Master Level - $1,700
Divine Connections - $95