ACCELERATING ASCENSION

Thank you for your interest, in just a few steps you will be registered for:

Friday Evening, April 9 and Saturday, April 10, 2010

Item Name: Accelerating Ascension - 2 Day Event
Time: Friday Evening 7:00 - 9:00 PM and Saturday 10:00 AM - 6:00 PM
Pre-Registration Fee: $219.00

All fields required except for Middle Initial, and Comments*

Gender:

Male

Female

First Name: Middle Initial: Last Name: Street Address: City: State/Provence: Zip/Postal Code: Country: Your Email: Confirm Your Email: Phone (home or cellular): (e.g. 555-555-5555)

Phone (cellular): (e.g. 555-555-5555)

How did you hear about us? (please select one)

Payment Method:

	Cash
	Check
	Credit Card
	Pay by Phone

Comments?:

By placing this order, I agree to the Panache Desai Conditions of Attendance, Cancellation Policy, and Privacy Policy.

Panache Desai Events

ACCELERATING ASCENSION

Friday Evening, April 9 and Saturday, April 10, 2010