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Registration Form

Fill out the following information and mail with the deposit.

Name:___________________________        Date:____________

Address:_________________________  City:________________ 

State:______   Zip code:________  

Place of Flight Departure: NY____  Seattle____San Francisco____

Email address:_________________________________________

Mystery Teachings of Ancient Egypt 

Back to Egypt Spiritual & Healing Pilgrimage

A deposit of $500.00 is required to reserve your place on this tour. (Send a check or money order in US funds.  We also accept Visa & MasterCard.). The deposit is partially refundable up to 90 days before departure.   If we would cancel the trip for any reason the deposit is totally refundable.  

The balance of the tour fee is due 90 days prior to departure.

Be sure to register early as there will be only 24 travelers on this journey!

Send registration information and deposit to:

Elements of Health

P.O. Box 83216

Portland, Or. 97283

If you plan to use a credit card fill in the following information:

Type of card:______________    Credit Card Number_________________________

Date of expiration:______ Signature:____________________________Date:________

For further information call us at 503-341-9460/9461 or email us.

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Webmaster @ Elements of Health

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Last updated 01/14/02 .



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