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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 Would You Like To Sign Up For?
(Minimum of $100 per Light Transmission)
How Many Light Transmissions Would You Like?:
One Light Transmission on Saturday
One Light Transmission On Sunday
Two Light Transmissions
Please Enter Below How Much You Would LIke To Contribute For Each Light Transmission You Are Signing Up For.
(Minimum of $100 per 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 Light Transmission appropriately.
How Long Will They Be Here?:
If you are prepaying for your 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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