[contactform email=”healing@grandmotherflormayo.com” subject=”Private Group Teachings Request Form for The Path” success=”Thank you. Your form has been sent and we look forward to connecting with you soon.” captcha=”true”]
[textfield label=”Date:” required=”true”]
[textfield label=”Name:” required=”true”]
[textfield label=”Point of Contact (other than requestor)”]
[textfield label=”Address:” required=”true”]
[textfield label=”City:” required=”true”]
[textfield label=”State (if U.S.):” required=”true”]
[textfield label=”Zip Code:” required=”true”]
[textfield label=”Country:” required=”true”]
[textfield label=”Organization:”]
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[textarea label=”How does the mission and vision statement of The Path connect to the purpose of the event?” required=”true”]
[textarea label=”What aspects of the Path and/or Flordemayo led you to chose her for your event?” required=”true”]
[/contactform]

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