Immortal Mind Program

Program Registration Form

(Please print and mail)

 

Name: _____________________________________________________________________

Address: ___________________________________________________________________

Email: ______________________________________________________________________

Phone: _____________________________________________________________________

 

I would like to register for the :

____ Formless Taoism Course 12 weekend beginning November 2017 - as an ONSITE student

____ Formless Taoism Course 12 weekend beginning November 2017 - as an DISTANCE student

Please attach your check for $1000 program deposit. and mail to:

Formless Taoism Foundation

825 Lovers Leap Rd

Leechburg PA 15656

Tuition balance of $4000 due prior to first class session.

I would like to reserve space at the CHI House:   yes  / no

_____ Private queen rooms are $75 per night

_____ One room with 2 twin beds for $80 per night

minimum 2 night stay

 

 
RESERVE YOUR SPACE NOW!

You  may also register using PAYPAL for your convenience.

Balance of tuition is due by check or money order.

 
Program Format
Retreat lodging at CHI House?
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