Please provide the following contact information:

Name
Title
Organization
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
Telephone
FAX
E-mail

Receipt of payment must be received  by February 25, 2002	BILLING: Payments can be mailed to: REIKI c/o KICAN Enterprises AB General Delivery Rolly View, AB T0C 2K0
Cheque or Money Order to be written to: KICAN Enterprises AB   All prices include GST GST# 87059 8968 RT0001	If paying by VISA or MasterCard, please provide the following information Name (on the card): Card Number: Expiry Date: Reiki I (Mar 23 & 24) 9am - 5pm ... $321.00 Reiki I (Mar 26, 27 & 28) 7pm - 11pm ... $321.00 Heart Seminar (Mar 30 & 31) 9am - 11pm ... $321.00
	** All Credit Card Purchases will be billed by The Australian School of Reiki and are subject to a $5.00 conversion fee **

Please provide the following product information:

Product Name	YES/NO	COST
Reiki I $321.00
Reiki I $321.00
Heart Seminar $321.00
Private Consultation $50.00
	GST included
	TOTAL

Mail to:  Reiki, C/O KICAN Enterprises AB, General Delivery, Rolly View, AB, T0C 2K0 

Fax:  780 986 2109

CONTACT:  Naomi 780 986 2099