School of Light Body Medicine

Request for Topics in  the
Alternative Medicine Series

Please print this form from your
web browser and mail it to:		 Rev. Magdalena Light
P.O. Box 189
Havre de Grace, MD, 21078

Rev. Light is available to lecture, train, or coach on any of the topics in the Alternative Medicine Series, to any group. Length of presentations will be determined by demand and may vary anywhere from two hours, to all day workshops, to weekly lectures.

Currently 3 months advance booking is required for any presentation.

Please provide the following information:
Briefly describe your group:  
Desired date(s) for presentation  
Desired starting and ending times  
Desired location  
Estimated number of attendees:  
Briefly describe
your objective for
this presentation:		  

We will contact you to arrange your presentation.

Please print the following contact information:
First Name  
Last Name  
Street Address  
City  
State/Province  
Zip/Postal Code  
Country  
Work Phone  
Home Phone  
E-mail  

Thank You

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Copyright © 2003 Rev. Light