Karlta Zarley: Registration Form

Registration Form

Karlta offers classes and retreats to assist you in your spiritual and energetic development. Classes meet on weekends or in the evening at her office, depending on the depth and breadth of material covered. See the calendar for class dates and registration deadlines.

Please contact Karlta prior to filling out and mailing the registration form, so that she can be sure there is an available spot for you in the class.

Karlta Zarley, RN, CHTP
210 Little Lake Dr., Suite 7
Ann Arbor, MI 48103
(734) 761- 5908
kzarley88@gmail.com

Directions to Karlta’s Office

SEALS OF SOLOMON ACTIVATION REGISTRATION FORM

To print this registration form, click on the printer icon in the lower right corner.

Seals of Solomon Activation - The Final Seal
Saturday, October 26, 2019 from 2 - 4 pm

Please send registration and payments to:
Karlta Zarley, RN, CHTP
210 Little Lake Dr., Suite 7
Ann Arbor, MI 48103

Name: __________________________________

Street: ___________________________________________

City, State, Zip: ____________________________________________________

Email: __________________________________________________

Phone (area code): __________________ Work/Cell Phone: _______________________

________ Registration fee of $40 (due by October 12, 2019)

________ Final payment of $20 (due by October 19, 2019)

_______ I need to have this done remotely. I understand there will be an extra $25 fee for write-up

Payment can be made by Venmo, check, MasterCard or VISA. Please check type of payment.

_______ If paying by Venmo, look up Karlta Zarley

_______ Check included with registration form

_______ MasterCard

_______ VISA

Card Number:

________________________

Expiration Date:

________________________

3 digit code:

________________________