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Please read this first:

To learn about the program and energetic evaluations click this link

*Each individual Person, Child, Animal, Plant, House and Office must have their own application and all have an equal fees.

Individuals: 1 year = $600.  Lifetime = $2875.

*Families and Groups of 4 to 6 individuals & pets  $2,000. per year. $9,375. for Lifetime. For group and family of 7 to 10 members $3,333.00  for one year $15620. for lifetime.  please call to conform and for further instructions. for a group/family larger then 10 call Momy. 

*For Animal, Plant, House and Office you will receive an identification number of 15 digits on stickers (10 sttickers) to attach to the surrounding local space. Please call us before you apply. 888-225-7501

Payment Page: After you have submitted the application, please be sure to complete payment of your transaction so that we may begin the Energetic Balancing process. Go to the payments page Or call 888-225-7501

*For payment plan information, or if you feel urgency to apply, or for long evaluation, call Mony for an interview 888-225-7501.

Evaluations:
**Regular (Periodic Evaluation) are free every 3 months.

*Energetic Evaluation and sound only $35.00 can be obtained every 15 days. Request by email or phone. payments at the time of the evaluation.

*Energetic Evaluation and sound with review $450.00

*Members – Energetic Evaluation and sound with review $300.

1Year=$600.,
Lifetime=$2875.
Upgrade to lifetime=$2275.00
Evaluation + Sound (no review)=$35.
Evaluation + Sound (with review)=$450.
Evaluation + Sound (with review) for members=$300.
To buy the Book Ageless Living click here.
To order the Physical Immortality video presentation, $45.00 plus $4.95 shipping in the US

To pay online click here

  • All items must be filled out completely.
  • Please be sure that you read understand and check all the statements below
  • Use one application per person, home or pet.
  • Not completing the form will delay your starting date.
  • All Fields Marked With An * Are Required
    APPLICATION
QPRS & EVALUATION ARE NOT a Medical Treatment! This program does not provide subscribers with any form of Therapy, Counseling, Medical Treatment or Diagnosis. If you think you have a medical problem, please see your doctor or dial 911. The Quantum Prayer and Resonance System has no recognized value, beyond that which the individual participants assign to it. The QPRS is a spiritual technology using advanced mathematics, fractals and prayers.*

Our refund policy = The total amount less 450. (Our set-up fee is $450, regardless of the plan). Refunds only within the first 30 days from the day of application. Request in writing by email or letter. If you have any question call 888-225-7501 before signing.*

I freely choose to participate in the Quantum Prayer and Resonance System for energetic balancing. I understand that the technology used in this program is both experimental and experiential, and that the program is currently in its testing stages.*

I know and understand that joining the Quantum Prayer and Resonance System is neither a replacement of, nor a substitute for an actual medical diagnosis, prescription or treatment. I also understand that the program dose not offer any type of counseling and therapy whatsoever. In addition, I understand that the QPRS and the Life vitality index rely on subtle energy measurements of response from the body stimuli. I further understand that this method/device has not been recognized scientifically and has no proven medical value or properties other than as it effects etheric and spiritual matters.*

I understand that the frequencies of well-being, abundance and happiness offered by the Quantum Prayer and Resonance System are accessed by me through the agency of my own Higher Self. In accordance with that understanding, I herby direct my Higher Self to connect with those frequencies that will be for the greatest good of my own health.*

Applicant Information:

Relationship to Applicant:*

App. Full Name:*

Applicant Specie:*

Applicant Sex:*

Home Phone:*

Cell Phone:

Email Address:*

Birth Information:

Date of Birth: Mo/Da/Year*

City of Birth:*

State / Province:*

Country:*

On Medication /Remedy?  Yes No

Smoking?  Yes No

# Organs Removed:*

Currently In Hospital? Yes No

Mailing Address:

Address:*

City:*

State/Province:*

Zip:*

Country:*

Physical Address (If Different)

Address:

City:

State/Province:

Zip:

Country:

Choose Your Membership:  Lifetime $2875 Yearly $600

I declare and avow, under the laws of the United States and the state of California and the state and country of my residence, that I have read, understood and agree that all my statements on this application are true and correct. *