This page can be completed online, printed and mailed to the address at the bottom.

Name:

Address:

City, State Zip:

Phone:

Please register (names):

For (Seminar/Tour):

Location/Date:

Amount Enclosed:

Deposit/Single/Full:

Deposit Single Room Full Payment
Please send more information on:

Please make check payable to Kahea Morgan, complete and print this form, then mail to:

Manalani
16 Mohawk Street
Centerport, New York 11721

E-mail us at: Manalani@aol.com

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