Winged Unicorn Meditation Technique / Third Eye Disk Application

I.S.I.S. (Integral Studies of Inner Sciences) Affiliate School
601 - 110 West 4th Street, N. Vancouver, B.C. V7M 3H3
serrano@holisticwebs.com
Tel/Fax: (604) 987-1797

Please mail this application indicating your area of interest (either the tour or meditation technique or both) to the above street address accompanied with one of your recent 2 x 2 passport photo. Also, for my records please mail a copy of your application to Ricardo B. Serrano, S.U.F.I. Center of B.C., #601-110 West 4th Street, N. Vancouver, B.C. Canada V7M 3H3. Thank you very much!

Name:

Address with phone number/email address:

Date of Birth:

Marital Status:

Health Status:

Are you on medication? If yes, what medication?

Inner Studies Background (how long, what books you've read, name of studies, name of teachers, name of school[s]):


Are you practicing Vital energy healing? Do you want to learn Bio-energy healing? What meditation practices are you doing?


Reason for application:

Signature:

Thank you!

For official use only
Name of ISIS officer:
Approved or Not approved:
Signature:

Click to access a printable page in PDF format.