Payment for "Shortcut to a Miracle" 8-week Zoom Class

Name

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Phone

Address

You are welcome to pay by check or credit card. If paying by credit card, select the appropriate amount, or if you have made arrangements with Dr. Maxine, enter an amount in 'Other'. Checks should be made payable to GPCSL and mailed to 360 N. Valley Road, Paoli, PA 19301 and note that it is for 'Shortcut to a Miracle' class. Otherwise select the amount for credit card payment and enter the requested information.

Comments or Questions

Payment

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

8 Tuesdays beginning Feb. 8 from 6:30-9:00 PM EST. Skipping Feb. 22.

Please fill out this form and click submit to pay for this class.

Payment for "Shortcut to a Miracle" 8-week Zoom Class

Description

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