CPHA Application - Pranic Healing Canada

CPHA Membership Application

First Name

Last Name

Phone Number

Address

Address Line 1

Address Line 2

City

Province

Postal Code

Country

Options

Include me as a healer on web site pranichealing.ca

Student Pranic Healer

I am not an Associate or Certified Pranic Healer

Comments (optional)

CPHA Dues Schedule for one year (Jan - Dec)

Pranic Healing Students - $25

Associate not wanting to be listed on website - $25

Associate Pranic Healers and higher - $50

Instructor / Centre Director / Coordinator - $100

Payment Methods

Bank transfer (Interac to canadianpranichealing@gmail.com)

Cheque to Jyoti Dekate, 102 Scimitar View NW, Calgary Alberta T3L 2B5

(Coming soon) PayPal