skip to Main Content
Home
About Michele
Testimonials
Events
Log In
Join
Menu
Home
About Michele
Testimonials
Events
Log In
Join
Free Videos...
Book Michele...
Home
About Michele
Testimonials
Events
Log In
Join
Menu
Home
About Michele
Testimonials
Events
Log In
Join
Free Videos...
Book Michele...
7 Energetic Bleeps Ups
and How to Avoid Them
Video #5:
How to Quickly Gain Energy
×
Powered by Convert Plus
Powered by Convert Plus
The Mystical Experienceâ„¢
Gold Application
Notice: JavaScript is required for this content.
Powered by Convert Plus
a
Please Fill Out The Following Registration form for the live in person Light Transmissions in Santa Monica
Name
Address
City
State/Province
Postal Code
Country
Email
Phone
Have you experienced a Light Transmission for Michele before?
Have you experienced a Light Transmission for Michele before?:
Please Choose From The Drop Down Menu Below
How Many Light Transmissions You Would Like To Sign Up For?
(Minimum of $100 per In-Person Light Transmission)
How Many Light Transmissions Would You Like?:
One In-Person Light Transmission on Saturday
One In-Person Light Transmission On Sunday
Two In-Person Light Transmissions
Please Enter Below How Much You Would Like To Contribute For Each In-Person Light Transmission You Are Signing Up For.
(Minimum of $100 per In-Person Light Transmission)
How Much Would You Like To Contribute Per Transmission?:
If you are only here for one day please let us know what day and what time during the day so that we can make sure to schedule your In-Person Light Transmission appropriately.
How Long Will They Be Here?:
If you are prepaying for your In-Person Light Transmission(s) please fill out the following fields. You can always pay later or at the hotel.
Credit Card Number:
Expiration Date
Security Code:
Once we receive your information we will send you the name and direct address of the hotel so you can book your stay.
Submit My Info
X