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REGISTRATION FORM
(Please copy, complete and mail or fax)

Living Awareness Foundation

phone: 610 565-5819 / fax: 610 565-1502
e-mail: jeanie@livingawarenessfoundation.com

Silva Intuition Training

(A.K.A. The Jose Silva UltraMind ESP System)

Date: Saturday & Sunday, September 25 & 26
Time: 9:00 AM – 6:00 PM
Location:

Airport Ramada, Essington, PA
(just off I-95)
610-521-9600

Tuition is $495; advance payment discount is $445.
Basic Silva Course Graduates, $195.00.
Silva Intuition Training and
Silva UltraMind ESP Repeater, $50 seat fee.
(This is waived if you bring a new person to class.)
Payment Plans by arrangement.

Name(s)___________________________________________________________________________

__________________________________________________________________________________
Address___________________________________________________________________________
City_______________________________________ State__________ Zip___________

Home Phone __________________________ Work Phone____________________

E-mail address________________________________________________________

Please reserve space for ___________persons. Amount $_________________

Check # _________________________ OR

Master Card / Visa #_____________________________________ Expiration (mm/yy) _____________

Please make checks payable to “Living Awareness Foundation” and mail to LAF,
Box 343, Wallingford, PA 19086

Your only acknowledgment will be your name tag at the admission door.

If you have any questions, please call 610 565-5819, fax: 610 565-1502 or e-mail: jeanie@livingawarenessfoundation.com

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