To register for any Core Wisdom course or class, please fill out this form completely (including tuition payment information) and click the "Submit Registration" button at the bottom. Your registration information will be sent automatically to Hal Isen & Associates, Inc.

Please note that this is not a secure form. If you prefer, you may submit the form without your credit card information. Then call (202) 237-7004 and leave your credit card information with the secure automated attendant.

Registration Information

I would like to register in the following Core Wisdom course or class:

Core Wisdom 3-Day Course
The Mastery Class
Other Class    (name)

Course Dates (see schedule)

I would like further information about:

The Mastery Class
Life Coaching and Counseling
Consulting Services


Address Information

Your Name:

Address:

City:

State:

Zip:

Tel - Day:

Tel - Eve:

Email:

Payment Information


I am paying my tuition by:

Check

Please send payment to:

Hal Isen & Associates, Inc.
2746 Unicorn Lane NW
Washington, DC 20015

_________________________________

Credit Card

Credit Card Information

Visa   MasterCard   American Express

Name On Card:

Card Number:

Expiration Date: MM/YY

3-Digit Code from Back of Card:

Billing Address Info (if different from above)

Billing Address:

Billing City:

Billing State:    Billing Zip:

_________________________________

Other (please describe below)

Comments or Questions:

Upon receipt of your registration form and tuition, Hal Isen & Associates, Inc. will send you information to assist you in getting the optimum results from your participation in Core Wisdom.


 


Hal Isen & Associates, Inc.

202-237-7004
hal@corewisdom.com

2746 Unicorn Lane NW
Washington, DC 20015