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BRINGING HOME SACRED DESIREREGISTRATION

On-line Request Form for hosting a Bringing Home Sacred Desire course

*First Name:*Last Name:
Partner's First Name:Partner's Last Name:
*Address:*City:
*State:*Zip/Postal Code:
Daytime Phone:Evening Phone:
Cellular:*Email:
Requested Course Dates for "Honoring Your Woman":
Requested Course Dates for "Honoring Your Man":
(Note: This course is only available after hosting, "Honoring Your Woman".)

Please Note: Upon submitting your On-line Request Form, you will be contacted to confirm your course dates and payment options for this deposit. A refundable deposit of $250 is required to reserve your course dates. Upon completion of the course, or if the course is canceled, your deposit will be refunded in full. Course fees from a total of five couples (hosting couple attends for free) must be paid two weeks in advance to confirm your event.

Any questions, comments, or concerns you'd like to share?



Items marked with a * above are required