Name:___________________________________________________

Address:_________________________________________________

Phone:________________________Cell:_______________________ E-mail:_________________________

Registration Fee: $175_________

I wish to register for the following classes:

______ Module 1: History & Foundation of Feng Shui - $250

______ Module 2: Form School Principles - $250

______ Module 3: Qi Dynamics - $250

______ Module 4: Yin Yang & 5 Elemental Phases - $250

______ Module 5: Ba-gua Mechanics & Trigram Building - $250

______ Module 6: Compass School BaZhai * Ming Gua - $350

______ Module 7: Floor Plan Designs for Health - $250

______ Module 8: Unseen Energies ~ Dowsing, Geopathic Stress & Earth Acupuncture - $350

______ Module 9: Corporate Feng Shui * Lo Pan Compass * Na Jia - $350

______ Module 10: Eco-Living Concepts & Design - $250

 

______Tools: Dowsing Rods/Fork - $25

______Tools: Formula Flip Chart - $25

______Tools: 24 Mountain Template - $25

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Examination Processing Fee: $250
Student Consultation Requirement Fee: $350 (Includes both Residential & Business)
Completion of all class modules, exam & intern consultation earns a Certification in Intermediate Classical Feng Shui

Amount Enclosed:_____________________   Signature:_____________    Date: ______________

Payment Forms Accepted:

Check, Cash, or any Major Credit Card.

To pay by check:

Print the form above and mail form with payment to:

Body Space Alignment 287 Daniele Dr. Ocean, NJ 07712

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To pay with Credit Card (via Paypal), Click "Pay Now" below, on the ensuing screen, enter the amount total of all items purchased in the "Item price" Box, then click "Update":

ALSO, print, complete and mail this form to: Body Space Alignment 287 Daniele Dr. Ocean, NJ 07712