REGISTRATION

O.N.E. EXPERIENCE PORTO

Full Name

Email Address

Full Address

Cellphone Number

City and Zip Code

Place and Date of Birth

Gender

Feminine

Masculine

Name of the practitioner that facilitated your Personal Reconnection:

I agree with the

REFUND POLICY , the PROGRAM PARTICIPATION/PRACTICE AGREEMENT

and the PRIVACY POLICY

I have read and I understood the

program and its requirements described here and I understand that Dr. Eric Pearl will not be attending this event. I understand that I must pay bank transfer to the account IBAN PT 50 0018 0003 51901650020 75 belonging to ColossalTreasure Lda, Santander Bank, BIC: TOTAPTPL

I understand that I must send proof of this transfer referring to the name of the person who completed the form, as well as their taxpayer number, to issue the invoice, to:

Thank you for your registration!

You willl receive an email soon!