SoulMates Registration

 YES! I look forward to attending the upcoming JWC Course.
 Sorry!  I am unable to attend, but would be honored to sponsor the JWC Course. 
       $3600.00 $1800.00 $1000.00 $500.00 $360.00  
         $180.00 $100.00 $72.00 Other $ US 

Choose your classes:

 Full Season (All 7 Lessons): $100
 Student Textbooks available to full season participants for $36

 Class 1 $15
 Class 2 $15
 Class 3 $15
 Class 4 $15
 Class 5 $15
 Class 6 $15
 Class 7 $15 

Total:

Personal Information

First Name         Last Name

Address             City

State                 Zip Code 

Email                 Phone

Billing Information

Card Number           Card Type Select MasterCard Visa Amex Discover

Exp Date Select 01 02 03 04 05 06 07 08 09 10 11 12 Select 2012 2013 2014 2015 2016 2017 2018 2019 2020                CVV Code

 I will bring cash/a check to the JWC Course.
No one will be turned away due to lack of funds.  I look forward to sharing, learning and growing together!