Registration

Advanced Dowsing, Healing & Self Empowerment Seminar
With Extra Day For Emotional Release Technique
by Raymon Grace

Saturday, July 29, 2006, 9 - 5
Sunday, July 30, 2006, 9 - 5
Monday, July 31, 2006, 9 - 5

Whole Health Center, 4265 Brownsboro Road, Suite 204
Winston-Salem, North Carolina

Please print all information:

Name:___________________________________________________________

Address:_________________________________________________________

City-State-Zip_____________________________________________________

Phone: (______) __________________________________________________

Email address:____________________________________________________

Fees - check the day(s) you wish to attend:

[   ] Saturday & Sunday only: $260 - $235 with $100 deposit.
[   ] Monday: $130 - $120 with $50 deposit.
[   ] All 3 Days: $390 - $345 with $150 deposit.

Save:  Mail your deposit check by June 29, 2006 for the discounted fee..
(Your deposit will be held until the day of the class. Bring payment for the class in cash and your check will be returned to you.)

Class size is limited. Reserve your space right away.

For more information call 336.759.3100, or email David@daystarr.com.

Mail this completed form with your check, payable to David McMahon to:

David M. McMahon, N.D.
PO Box 17065
Winston-Salem, NC 27116-7065