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Living from Expansion Enrollment
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1. Date

Date

2. First Name

3. Last Name

4. Street Address

5. Address 2

6. City

7. State

8. Postal Code

9. Country

10. Phone

11. E-mail

12. What is the biggest change in your life from last year's class?


13. What supports your personality to integrate change?


14. What do you want to achieve in this class?

Be specific and take as much space as you need.

15.

Deposit via VISA or MASTERCARD is due with Registration. $350 for all students. Click SUBMIT, scroll down to review your Enrollment information, then click DONE. You will then be redirected to our COURSE DEPOSIT page. Please choose the appropriate  Living from Expansion Course Registration Fee and complete our secure payment process. Registration is not complete until both the form and fee are received. Thank you.

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