I am applying to attend the Karuna Reiki© Master Training Intensive on ________________
at The Sea Ranch, California:

Name: _________________________________________________

Address: _________________________________________________

City: _________________________ Zip: _____________

Phone: ________________________ Fax: _____________

E-mail: _______________________

Tuition:

|___ | I wish to pay by credit card (in a secure manner through PayPal -- no PayPal account required).

|___ | I have enclosed my check # ______ in the amount of $___________ made out to Adelgund Heinemann to secure my place in the seminar. An initial payment of $300 will secure your place. Last day to register is 30 days before the seminar date).
|___ | I am a Karuna Reiki© Master and qualify for the review fee.

|___ | I have also enclosed my separate check # _________ in the amount of $___________ (min. $100.00) per person toward housing in a Sea Ranch home. I understand that Sea Ranch housing will be on a first come/first served basis) and that payment of the balance of the housing fee will be due upon my arrival.
I prefer |___ | single ($275) |___ | double ($200) occupancy and will call 408-472-9037 (Gundi) for reservation details.
|___ | I am interested in staying an additional night at the Sea Ranch accommodation at no extra charge.
|___ | I am interested in arriving one day early (i.e., on Wednesday) at a nominal extra charge of $70 ($110 single room).

|___ | I will arrange for housing by myself.

I understand that registration is on a first come first served basis and that my interest and motivation to become a Karuna Reiki© Master must be ascertained prior to acceptance in the seminar by completion of a Reiki Master training seminar at least one year ago. I also understand that I will receive full refund, less a handling fee of $50 should I cancel 30 or more days prior to the seminar date. The handling fee will increase to $100, should I cancel between 30 and 20 days prior to the seminar date. There will be no right to refund if cancellation is within 20 days of the seminar date.

You may also fax the application to: 408-730-1441