Registration

Energy Healing Seminar
With Helen Yamada

Saturday, July 15, 2006, 10 - 5
Sunday, July 16, 2006, 10 - 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: $230 with $100 deposit.
[   ] Saturday only: $115 with $50 deposit.
[   ] Sunday only: $115 with $50 deposit.

Save:  Mail your deposit check by June 30, 2006 and deduct $5 per class.

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