Awakening The Power Of Prosperity Registration Form 

Name: _________________________________ Street Address: _____________________________

City: __________________________________  State: _______ Zip: __________________________

Home Phone: (____)______-_______________  Email: _____________________________________

q       Cash/Money order

q       Check No*: _______

q       Visa

q       Mastercard

q       American Express

q    Discover

CC #: ___________________________ Exp. Date: ___ / ___ / ___ Signature: ________________________

* Make checks payable to The Kundalini Yoga Center