Registration Form

Please complete the brief Registration form and send it in with your check OR  email it to us (use copy and paste) if using PayPal.

KUNLUN® System WORKSHOP

Facilitated by Phil Laing as taught by Max Christensen

Workshop Registration Form:

Name:

Home Phone #:
Cell Phone #:
Street Address:
City:
State or Province:
Zip Code:
Date of Workshop:
Location of Workshop:
Email Address:
Today’s Date:
Notes:

 

PLEASE NOTE:
Not advisable for those with less than 1 yr of sobriety, bi-polar disorders or women over 6 months pregnant. 18 years or older only.
Liability waiver must be signed.
Wear Comfortable Clothing


Course duration: One (1) full day or two half-days (check schedule)

Registration Cost: $179.00  Non-refundable (transferable).


If you are paying by check or money order, please fill out the form above and mail with your payment, payable to:

Phil Laing
236 W. East Ave. #110
Chico, CA 95926
USA
Phone: (530) 386-3983

NOTE: YOU MUST NOTIFY BY EMAIL THAT YOU HAVE SENT IN PAYMENT SO I CAN ACCOUNT FOR YOUR ATTENDANCE IF I AM TRAVELING. Use p_laing@yahoo.com. Thank you.

PayPal directions:
Go to www.paypal.com (you dont need a PayPal account to pay this way)
Click Personal tab

Click on Transfer Money
Click on Send Someone Money
Fill in the field To: (type in plaing@thegrid.net)
Fill in the field From: (type in your email address)
Enter amount: $____
Make sure US dollars is chosen for the currency.
Click Purchases Tab and choose Services.

You should get a confirmation in your email