course registration form

thai yoga massage training course - level 1

Wednesday 16th - Sunday 20th february 2011

Please complete the details below.

Name *
Phone Number *
Email Address *
How did you find us? *   Google search (please note search term below)
  Other web search (please note search term below)
  Word of mouth
  Referral from another site
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Details of how you found us if "Other" was selected above
REGISTRATION & PAYMENT
I understand that registration and a deposit is required to reserve a space for me.
Once you have registered and made a payment, you will be sent a receipt and an Applicant Details form to complete.
Payment Options *   $250 - Thai Yoga Massage 1 (deposit)
  $900 - Thai Yoga Massage 1 (early bird)
  $960 - Thai Yoga Massage 1 (full price)
  $500 - Thai Yoga Massage 1 & 2 (deposit)
  $1,720 - Thai Yoga Massage 1 & 2 (early bird)
  $1,920 - Thai Yoga Massage 1 & 2 (full price)
  Please call me to discuss registration & payment
Payment can be made by cheque or direct deposit to:
Yoga & Meditation Retreats Victoria - BSB: 633-000 Acct: 133182618
Cancellations: For a full refund of deposit, cancellations must be received no later than 14 days prior to event. Cancellations received later than 14 days prior to event are non-refundable.
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