Feng Shui Design, Inc.

EMAIL REGISTRATION FORM

Name:

Company:

Address:

City:

State:

Zip:

Phone:

Ext:

Fax:

Email:

License #:

State:

I am registering for:

Feng Shui for Interior Design

Date/City:

Feng Shui and Textiles

Date/City:

I am paying by:

Credit Card

Check

Please make checks payable to:
Feng Shui Design, Inc.

Email registration form.
Fax credit card info or send payment to:

Feng Shui Design, Inc.
P.O. Box 268177
Ft. Lauderdale, FL 33326

Email: info@fengshuidesigninc.com
Tel: 954-349-9994 • Fax: 954-349-4101
Feng Shui Design, Inc. • P.O. Box 268177 • Ft. Lauderdale, FL 33326