CUSTOMER REGISTRATION PAGE


Dear Customer, Thank you for investing in your health and energy! If you register your Egyptian Healing Rods purchase within 14 days we will send you a free gift: Your choice of EITHER a guided visualization meditation recording for use with the Rods OR you may attend one of our advanced Tele-classes to have an interactive learning experience. (see tele-class schedule) This offer is limited, one per customer address... Register Today!

Please provide the following contact information:


Name: 
Street Adress: 
Address (cont.) : 
City : 
State/Province: 
Zip/Postal Code: 
Country: 
E-mail: 

Where did you purchase your Egyptian Healing Rods?
  Expo or Demonstration Event: 
  Private consultation with Dealer/Practioner: 

Name of the Reseller: 

Serial Number of your Rods 

(printed on your Certificate of Authenticity):

If you purchased additional sets of Rods, list their certificate numbers here: 

Would you prefer a free guided visualization meditation
recording or an advanced Tele-class?
 Meditation recording: 
 Tele-class: