Embracing Your Star Seed Nature Registration

After filling out and submitting this form, you will receive an initial email confirmation. Once your payment is complete, you will receive a confirmation email directly from Judith. If you do not receive the emails within 24 hours, email Judith at healingconcepts2@gmail.com. (Check your spam folder first).

Please Read Payment Information Below.

Name

First Name

Last Name

Birthdate

Email

Phone

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Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Optional Coupon Code

How did you hear of the course?

Method of Payment

If paying by check please make payable to Judith Corvin-Blackburn and send the check to: J. Corvin-Blackburn, 190 Iris Lane, Whittier, NC 28789. If using PayPal, use PayPal.Me/judithCB or Venmo, use @judith-corvin-blackburn, and put in the $225.00 when prompted or your Coupon Code. For those with a coupon code, put that amount in the registration form, and pay the coupon amount.

Need another payment option or have any questions, email Judith at healingconcepts2@gmail.com