Certification Program Application Payment

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This page is for payment of the Associate Pranic Healing Certification Program.

If you wish to apply for this program please Contact Us to receive the application packet BEFORE you pay for the Program.


Payment is Currently for the July 2015 Program. Applications and Payment are accepted beginning , May 30, 2015.

Event Registration Profile

Credit Card Information
If you have a PayPal account, you can click the PayPal button to continue. Otherwise, fill in the credit card and billing information on this form and click Continue at the bottom of the page.
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Enter numbers only, no spaces or dashes.
Security Code Location on Credit Card
Usually the last 3-4 digits in the signature area on the back of the card.
Billing Name and Address
Enter the name as shown on your credit or debit card, and the billing address for this card.