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Membership Registration Form

(Formulario de Solicitud de Membresía)

Prefer to print out this form and fill it out manually, download it here in English.
Prefiere llenar este formulario manualmente, descarga lo en Español aquí.

Please note: You do not have to be a graduate of Dr. Pesek’s Holistic Iridology Program to be a member!

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This is not the Congress registration form.

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We will not spam you and we do NOT sell our lists to outside organizations.