A Course In Divinity Enrolment Form

Date:

Your Name:
Street Address:
City/Suburb:
Country:
Postcode/Zip:
Sex:
Date of Birth:
Occupation:
Contact phone number:
Fax number (if applicable):
E-mail address:
Confirm e-mail address:
Some background information is helpful to us - thank you!

Previous wisdom attained:

 

High School, up to age :

College/University

If other metaphysical related studies or courses, please tick:

Psychicism:
Science of Mind:
Silva:
Unity:
Positive Thinking:
Meditation:
Yoga:
T/M:
Mysticism:
Healing:
Naturopathy:
Divine Science:
Auras:
(Para)Psychology:
Psychiatry:
Rosicrucian:
Avatar:
Esoteric Philosophy:
Theosophy:
Astral:
Chi:
Chanting:
Creative Visualisation:
Prophecy:
Vedanta:
Sanskrit:
Kundalini:
Tao:
Holistic/Integrative Therapy:
Reiki:
Religious Counseling:
Dream Interpretation:
ESP:
Occult:
Christian Science:
Old/New Testament:
Astrology:
Channeling:
Karma:
Chakra:
Other:
Public speaking ability?

If Yes, please rate 1 to 10=best:

I INDICATE MY UNDERSTANDING THROUGH COMPLETING THIS ENROLMENT FORM, AND CLICKING ON THE SUBMIT BUTTON BELOW, OF THE FOLLOWING:

* that my registration fee and first instalment of assignments must be paid for in full before I may be enrolled;
* that I will only receive assignments with advance payment and that all monies paid for tuition are non-refundable and non-transferable;
* I agree to abide by the rules and procedures of the International Metaphysical Ministry, U.S.A.

After you submit this form, you will be forwarded to the Way of the Heart store to choose from one of two payment options to commence your Course. If payment is not received, you may return at a later time (click here) but your registration will not be accepted without prior payment of one of these options.