Class Registration

All Seraphim Blueprint Classes or Events require registration and pre-payment. Please note that payment is to be received on or before the registration/payment deadline date as noted on the class schedule page. It is necessary to receive class registration and payment by noted date as course notes and teleconference call in number is sent a few days before each class. If you missed the deadline date, call Cindy to see if class is full - 330-289-4949.

Please complete this form and submit. This contact information is needed in the event of a schedule change, to mail Openers or to email course notes. We do not share contact information with others.

First Name: Last Name :

Address:

City: State: Zip:

Email:

Telephone:

Class Name: Class Date:(mm/dd/yy)

Do you want to register for another class?

Class Name: Class Date:(mm/dd/yy)

Special Code:

Amount of Class Fees (Please add $5.00 for each class if using PayPal- this is to offset fees charged by PayPal). Payment must be in US Dollars.

Method of Payment (please check one)

I have mailed you a Check (made payable to Cynthia Smith, PO Box 462 Hazelwood North Carolina 28738- 0462

I have sent a PayPal payment from my PayPal account. Send PayPal payment to: SeraphimLightEnergies@ yahoo .com

If you were told about the classes by a friend, please give their name so a Thank You can be extended.

Notification:

I understand that information on this website or in classes is provided for informational use only. I acknowledge that Cynthia Smith is not a trained or licensed health care provider and does not provide medical advice, diagnosis or treatment. It is always strongly recommended to consult your health care professional regarding symptoms you experience.

Check here to acknowledge reading the above notification.

Please add any additional comments below:

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