Remote Viewing Registration Form
19/289 Harcourt Street,
To register for the SecondSight Technologies Remote Viewing online course via mail, please print and complete this registration form.
Please mail the completed registration form along with your check/cheque or foreign draft for £59.99 in English sterling to the address at the top of this form. Please make your check payable to "Lee Heather" .
We'll send your training site login information via email within 48 hours of receiving your registration form, and you can get started.
Please be sure that all information contained
below is legible.
Full Name: _______________________________________________
Phone Number: _________________
Email Address: ______________________________________________
Street Address 1: ___________________________________________
Street Address 2: ___________________________________________
City: _____________________ State/Province/county: _________________
ZIP/Postal Code: ______________ Country: ____________________
Print this page