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Welcome to the 

LUNAR DESTINIES Club 

Let's get to know each other a little more before we embark on this HEALING journey together!

Full Name (First, Middle and Last Name)*

Email Address*

Phone*

Mailing Address*

Birth Details (Date, Time and Location)*

What interests you about the Lunar Destinies Club?*

What kind of transformation are you looking to experience through this process?*

Occupation and Relationship Status*

Would you like to be added to our email list?*

Referred By*

I understand this is a non-refundable annual commitment*

submit above and then pay below

Monthly

Annual

Alumni

$22 / month

$222 / year

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