To register by mail:
1. Please print this form and fill it out.
2. Make your check payable to ShamanicCircles (we cannot take credit cards by mail).
3. Send your completed form and check to:

Lori Levine, Oracle 2002
2 North Sierra Vista Drive
Tucson, AZ 85719-3838

To register online by credit card:
Click this link to go to our secure web page.

NOTE: We cannot take registration by phone.

Name: _________________________________________

Street Address:_________________________________

City:___________________________________

State:____ Zip:__________ Country:______________

Phone:_________________

Email:__________________

Fees: check appropriate space

I am enclosing:

______$100 deposit
(remaining $200 due prior to Feb. 15)

______$300
(complete fees)

______$350
(amount due if registering after after Feb 15)

______*Contribution to international travel
*Shamanic Circles would like to help defray cost, when needed, for international travel. In the past, this has enabled some to attend who otherwise could not afford travel costs. If you are able, would you please contribute and include this with your registration fee.

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