"Changing From Gay To Straight Is Possible"
 

SEMINAR & TRAINING PROGRAM REGISTRATION FORM

2007-2008

Please fill this out in order to create your customized Registration Form.
After completing, please print the form and mail to us with your payment.
 

Name 
Street 
City 
State 
Zip 
Tel: Home
Tel: Work
Tel: Fax
Email Address 

 

Seminar Fee Schedule

Individual

 $250

Couple / Family of 2

 $400

Family of 3 

 $550

Additional Family Members

 $150

 

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All information is strictly confidential

 

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International Healing Foundation
P.O. Box 901, Bowie, MD 20718
Tel. (301) 805-6111 / Fax (301) 805-5155
Email: info@gaytostraight.org