Enrollment Application


Mail to: Karin Kabalah Center
2531 Briarcliff Road, N.E., #217
Atlanta, Georgia 30329
Phone: (404) 320-1038 FAX: (404) 320-1042

In reality, you do not choose the Kabalah, the Kabalah chooses you. "When the student is ready, the teacher appears!"

Please enroll me in the Kabalah: A Process of Awakening study course and send me the first set of lessons. Enclosed is my check, money order or MasterCard/Visa/Amex authorization in the amount of $40. I reserve the right to cancel my enrollment at any time I deem necessary.

Signed:

Date:

Please print or type the following information:

Name: _____________________________________________________________

Address: _________________________________________________________

__________________________________________________________________

City: ____________________________________________

State: __________ Zip: _______________________

Telephone: (Work) __________________ (Home) ____________________

Birthday: (Month & Day) ____________/_____________

Do you want an application for the St. Thomas Christian Church Seminary Program?
(__) Yes/ (__) No

CREDIT CARD AUTHORIZATION

(__) Charge this first set of lessons to my MasterCard/Visa/Amex.
(__) Please keep my charge card information on file so I may charge certain
designated reorders to my account.
(__) Please send me my set of lessons each month and charge the lesson fee to
my account until otherwise notified.

Circle One: MasterCard Visa Amex

Name on Card: _____________________________________________________

Card Number: ______________________________________________________

Expiration Date: __________/___________

Signature as it appears on card: ____________________________________


Karin Kabalah Center
2531 Briarcliff Rd.
Suite 217
Atlanta, Georgia 30329
Telephone (404)320-1038

Any comments or questions about this page may be directed to kabalah@mindspring.com