Ariel & Shya Kane: Catalysts for Instantaneous Transformation
morpho

Seminar Registration



Registering is easy! Just follow the 3 STEPS below.

STEP 1: Enter Personal Information:

First Name and Last Name (required):
Name you prefer to be called:
Email (required): Address (required):
City (required): State(required):
Zip Code (required): Country:
Home Telephone (required): Work Telephone:
Cell Phone

STEP 2: Select Your Course(s):

At least one course is required when filling out this form

Instantaneous Transformation Tuesday Evening International Call

In order to participate in this conference call, you MUST attend in person in one of the host cities.
For further information, please contact Stefanie Ehrle in Hamburg, Germany for more info at
011-49-40-88 172 646 or at germany@ask-inc.com.
Please list participants other than you for the course above:

Number of Participants:  
Details/Comments:

Weekend Courses

Please list participants other than you for the course above:

Number of Participants:  
Please list participants other than you for the course above:

Number of Participants:  
Details/Comments:


STEP 3: Enter Your Payment:

Amount paying: Euros*
(Note: Please use a "." instead of a "," for decimal place. For example, type 150.50 instead of 150,50)

*You will be charged in US Dollars based on the currency exchange rate of the day that your credit card is processed.

Wire Transfer **
Visa Mastercard
Credit Card# - - -
Expiration Date (mm/yy)
CVV Code
Name on C.C.

Please enter your initials stating that you agree that the deposit portion of your tuition (€125 for weekend seminar, €75 for 1 day seminar and €200 for both) is non refundable and non transferable. (required)

** To make a wire transfer payment, please contact:

Stefanie Ehrle
Ulzburger Strasse 34
22399 Hamburg, Germany
E-mail: st.ehrle@t-online.de
Tel: 011-49-40-88 172 646
Fax: 011-49-40-88 172 647
Mobile: 0172 - 40 560 49
Stefanie Lueck, Tel: 011-49-4108-41 88 95