The Cleansing Way Lifestyle Missionary Institute


These forms & prices as of May 28, 2003. Call for the up to date prices. 

Program Application 

Date ______________________ 

Participant 

Name ____________________________________________________ 

Address __________________________________________________ 

City _____________________________________________________ 

State / Zip ________________________________________________ 

Home telephone: _________________ work:____________________ 

Did your physician refer you to this program? q Yes q No If Yes, what is his/her 
name, address, and telephone number? _____________ 

__________________________________________________________ 

I wish to attend the program beginning (date): ____________________ 
q Enclosed is my deposit of $_________ to secure my reservation. 
q Please charge my deposit to my credit card: q Visa q M/C 

________ ________ ________ ________ Expires: ____ / ____ 

Signature: ____________________________________________ 

I will arrive by q car q bus q airlines. 
q I am including an application for a spouse/companion. They are paying for the 
q full program / q juice fast only. 

Medical Information 

Birthdate: ___/___/___ Gender ___ Nationality _________________ 

Height: __________ Weight: ___________ 

What health concerns or problem(s) are you suffering from? _________ 
_________________________________________________________ 
_________________________________________________________ 
________________________________________________________ 
_________________________________________________________


Feeling Sick? 

Need to learn more about how to make beneficial lifestyle changes? 

Look inside for help!

Feeling Sick? 

Need to learn more about how to make beneficial lifestyle changes? 

Look inside for help! 

Presenting 
A Lifestyle Change Seminar 
This special educational health seminar is especially for those with . . . 

• Cancer of the colon, liver, pancreas, breast,
brain, lung, prostate, etc. • Candida • Chrones disease • Chronic fatigue 
syndrome • Diabetes • Fibromyalgia • Gall stones • Gastrointestinal problems • 
Heart disease • High blood pressure • Kidney stones • Leukemia • Liver diseases 
• Lupus • Lymphoma • Migraine headaches • Multiple sclerosis • Multiple myeloma 
• Osteoporosis • Overweight problems • Rheumatoid arthritis • Skin diseases • 

Other diseases 

Through this program, you will receive . . . 
       • Health education • Nutritional support
       • Dietary changes through the use of special herbs, juices, and raw fruits and vegetables. • Spiritual encouragement 
       • No drugs, reflexology, or accupuncture 
       • All with an effort to harmonize with the eight laws of health. 

The Location 
The Cleansing Way Lifestyle Missionary Institute is located out in the country, 
not far from Eatonville, Washington. It is approximately one hour south of the 
SeaTac Airport in Seattle, Washington. A map is available upon request. 

Seminar Dates 
Each program begins with check-in on Sunday. It is finished at noon on Friday 
(19 days later). We encourage guests to plan their departure for the last day of 
the program (or before). Programs are scheduled for the following dates: 

Your Instructor 
Dr. Sung Min Im, m.d., has been using the 8 natural remedies in his practice for 
the last 25 years. As a result of Dr. Im's program, which includes juices and 
special herbs along with God's blessing, many of his patients have been helped. 

He has helped people who have been suffering from many diseases, including 
diabetes, lupus, "terminal" cancer, and leukemia. He and his wife will be 
sharing with you the instruction that they have been learning. Dr. Im is also 
portrayed as "Dr. Mitchells" in the book Two Months to Live, by Jan Marcussen. 

Fees for the Seminar and Room and Board 
        • $3,900 for the full program, including room and board in hygenic surroundings 
in the country; inspiring, informative health lectures; a daily interview with 
the instructor. (Guests will need to provide at their own expense and prepare 
for themselves any additional food that they desire.) 
        • A guest may bring a companion (spouse or caregiver) for an additional $1,950. 

To Attend 
        - Registration: Advance registration is required to attend this special seminar. 
        - An advance registration of at least 10 days is encouraged. 
        - Deposit: An advance deposit of $500 per guest and $250 per companion (which is applied toward the program prices above), is due at registration in order to secure a reservation. The balance is to be paid at check-in. Canceled reservations within seven days prior to your scheduled arrival will be refunded 50% of the deposit. Applicant Screening: All applicants will be personally interviewed by Dr. Im after they have registered for the program in order to determine how the seminar 
might benefit them. 

Send applications to:
         The Cleansing Way Lifestyle Missionary Institute
         P.O. Box 
         1547, Eatonville, WA 98328. 
         You may fax them to: (360) 832-4657. 

If you have questions, or if you would like to register with a credit card, please call (360) 832-3906. Answering service: (407) 645-3626. 

Please don't hesitate to call us if you're looking for help!

2003: Jan. 12_31 • Feb. 9_28 • Mar. 9_28 • April 6_25 • May 4_23 • June 1_20