To register for this workshop, fill out the form below and send a deposit of $50, or the full amount, and send to Pirkko Miller. Make the check payable to “Shamanic Visions.”
**Send the form and your payment to
Pirkko Miller
P.O. Box 193
North Webster, Indiana 46555

Name ______________________________________

Address ____________________________________________________

Email __________________________________________

Amount of payment enclosed:__________

Payment of $50 is required to reserve a space.
Complete payment is due by Sept. 1st.
If cancellation is received by Sept. 1,
a full refund minus the $50 administrative fee will be returned to you.