METAPHYSICS DIPLOMA COURSE ENROLMENT FORM

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1 METAPHYSICS DIPLOMA COURSE ENROLMENT FORM Option Chosen (please tick one): Date: Metaphysics Entry Level Diploma Metaphysics Standard Diploma Metaphysics Higher Diploma Metaphysics Master Diploma See subject choice list on pages below Name and Surname: Postal Address: Tel: Cell: Occupation: Birthday: Do you want to be part of a mailing list with updates, etc? YES / NO Would you like to join our affiliate program (where you receive payment for referring students to us? YES / NO Where did you hear about the course? If you were referred by one of our students, what is their name (so that they receive payment on the affiliate program). What do you hope to achieve by doing this course? What other courses have you done (relating to healing, metaphysics or selfimprovement)? Your name, as you would like it to appear on your certificates:

2 Method of payment: for credit cards or PayPal please see Full payment R3 500 (entry), R7 500 (Std Diploma), R (Higher Diploma), R (Master) Monthly please stipulate amount * Other monthly instalments are due by the 1 st of each month * If you choose the monthly payment option, please set up a stop order with your bank or a recurring EFT and forward us confirmation of the monthly stop order. This is to ensure that fees are paid timeously every month. Payment Details: PayPal: or monthly payments can be made at (EFT - South African Students): G du Preez, First National Bank, Account No , Branch Code , Current Account, Ref: "Your initial and surname" South Africans: if you would like to pay by credit or debit card, please make payment at Subject choices Elective Subjects (your choice): (+ 9 compulsory subjects) ENTRY LEVEL DIPLOMA: 1 pink subject, 1 green subject, 1 purple STD DIPLOMA: 1 pink subject, 3 green subjects, 2 blue and 3 purple subjects HIGHER DIPLOMA: 1 pink subject, 6 green subjects, 3 blue subjects, 4 purple subjects and 1 orange subject MASTER DIPLOMA: 2 pink subjects, 8 green subjects, 4 blue subjects, 6 purple subjects and 2 orange subjects You are able to swop 1 blue subject for 2 green subjects or vice versa, however, are required to take at least 1 blue subject. You can also swop 1 green subject for 2 purple subjects, or 1 orange subject for 1 blue subject. MARK CHOICES WITH AN X ORANGE OPTIONS - HIGHER & MASTER DIPLOMA ONLY H1 H2 H3 Munay Ki Etheric Rites Reiki Master Level Karuna Reiki 1 to Masters H4 Order of the Golden Dragon Levels 1-3 H5 H6 Celestial Series Psychic Protection & Development Package H7 New Earth Teacher 1-9 H8 H9 Celestial Encodings Cosmic Consciousness Package H10 Ashati Levels 1-3

3 H11 G1 G2 G3 G4 G5 G6 G7 G8 G9 G10 G11 G12 G13 G14 G15 G16 Chios Energy Field Healing GREEN OPTIONS Etheric Clearing Empowerments Reiki Level 1 - Advanced Crystal Healing Awakening your Intuition & Channelling 7 Archangels & Rays Attunements (Colours of Angels, Sapphires of Angels, Angelic Empowerments & Universal Rays) Introduction to Aromatherapy Rites & Ceremonies Feng Shui, Space Clearing & Earth's Energy Systems Past Life Regression Native American Studies Dolphins of Atlantis Healing System AND 20 Angel Essences Ama Deus Shamanic Healing System AND Sacred Breath Sacred Earth Energy System AND Nature Medicine Mandala Empowerment Tibetan Soul Star Reiki Kundalini Reiki 1 to Masters Mahatma Ascension Reiki PINK OPTIONS P1 Angel Package P2 Archangel Package P3 a Dragon Spirit Package 1 P3 b Dragon Spirit Package 2 P3 c Dragon Spirit Package 3 P4 Dolphins & Whales Package P5 Subtle Energies Package P6 Mystery Mastery Healing System 1-3 P7 Mystery Mastery Healing System 4-6 P8 a Atlantis & Lemuria Package 1 P8 b Atlantis & Lemuria Package 2 P8 c Atlantis & Lemuria Package 3 P9 Shaman Package P10 Mystery Mastery Healing System 7-8

4 P11 P12 B1 B2 B3 B4 B5 B6 B7 B8 B9 B10 B11 B12 Abundance and Manifestation Package Animal Medicine Empowerment Package BLUE OPTIONS Crystal Reflexology Animal Communication & Healing Shamanism & Shamanic Empowerments Ma heo o Reiki Hawaiian Goddess Initiations, Hawaiian Trinity Reiki & Ho omana Healer s Package Animal Healing Package Ascension Consciousness Package Egyptian Cartouche Hawaiian Huna Reiki, Huna Empowerments & Introduction to Huna Egyptian Energies Package Crystal & Herbs Energies Package PURPLE OPTIONS PP1 Etheric Cord Flush PP2 Energy Builder PP3 Meridian Flush 1-10 PP4 Aura Flush PP5 Allowing Abundance and Money Empowerment PP6 12 Strand DNA Activation PP7 Chakra Flush PP8 Earth Energy Boost PP9 Silver Violet Flame PP10 You are Love Activation PP11 Healing Attunements PP12 Golden Triangle Healing PP13 Chakra Healing Attunements PP14 Independence Empowerment & Sadness Release PP15 Abundance Flush PP16 DNA Shakti PP17 Akashic Records PP18 Happiness Flush PP19 Mental Flush

5 PP20 PP21 PP22 PP23 PP24 PP25 PP26 PP27 PP28 PP29 PP30 PP31 Resentment Flush Stop Smoking Flush Bereavement Flush Serenity Flush Good Sleep Empowerment Spell, Curse & Hex Removal Flush Weight Loss Reiki Cosmic Soulmate Love Connection Cosmic Siblings (find your soul family) 13 Crystal Skulls Business Metaphysics Protection Astral Body Protection We accept PayPal, credit cards, EFT and cash deposits.

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