mens_workshop.jpg   Welcome to the Men's Class

                                    ...awaken the peaceful warrior within!

Contact Information
First Name *
Last Name *
Email *
Phone Number *
Street Address 1
Street Address 2
City
State
Postal Code
Gender *
Miscellaneous
Check all that apply:  I will be taking this class ONLINE
 I will begin this class in January 2017
 I will begin this class in February 2017
 I will begin this class in March 2017
 I will begin this class in April 2017
 I will begin this class in May 2017
 I will begin this class in June 2017
 I will begin this class in July 2017
 I will begin this class in August 2017
 I will begin this class in September 2017
 I will begin this class in October 2017
 I will begin this class in November 2017
 I will begin this class in December 2017
Billing Address
Street Address 1 *
Street Address 2
City *
State *
Postal Code *
Country
Credit Card Information
Card Type *
Card Number *
Expiration Month *
Expiration Year *
Start Month (if avail)
Start Date Year (if avail)
Maestro Issue Number (if avail)
CVC *
Product Purchase Plan
Men's ClassAmt
1 Payment of $450.00
$450.00
2 Payments of $250.00
$250.00
Total Amount You Pay Right Now
Process

Church of Divine Man  

Admittance To  Prayer-Meditation, Prayer-Healing, and Religious Instruction Classes

I am of sound mind and body. I am able to handle the mental exercises. I understand that you, the Berkeley Psychic Institute, do not take the place of, or substitute of medical care, and that the techniques used are intended to enhance one’s spiritual nature only. These classes are designed as entrance preparations for the seminary of the Church of Divine Man and its workshop, the Berkeley Psychic Institute. Through the duration of this class, I am registered as an Associate Member of the Church of Divine Man.

I am enrolling in a beginning spiritual instruction class as a step in my spiritual growth. I understand that any donations I make are a gift to the Church, and are NOT REFUNDABLE even if either the staff or I myself decide that I am unable to complete the class. As a gift, my donation is the property of the Church and I release all claim to it.

Partial Contributions: 1st half will process today, 2nd half will process in 15 days.

NO REFUNDS.

I have read and understand the terms of this agreement.
(Enter your initials)
Powered By Infusionsoft