Information for the Healing Sanctuary – Carol Everett Healing Sanctuary

WHO is included in your subscription? DEPENDS ON any additional subscribers you previously REGISTERED. *

Select from drop down menu who is to be included under your subscription.

Please confirm that you have more than met the minimum sanctuary donation of £10 per person, otherwise' please return and amend your subscription *

Name (Subscriber) *

First

Last

Date of Birth, subscriber : dd/mm/yyyy *

Email (Main Subscriber) *

Email

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Areas of healing focus for The Healing Sanctuary, (Short description, Main subscriber) *

Please upload a recent photo of yourself, (Main Subscriber)

Click or drag a file to this area to upload.