Know Thyself
February 21, 2021
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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
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