Please enrol me on the following course:
Past Life Regression Diploma Course
(£195 Deposit)
£1095
Incl.
2
Weeks Intensive in Two Modules ( Starting
Date ) ________________________
Teacher Training in Guided Meditation and Self
Empowerment Workshops Diploma Course
(£195
Deposit)
£495 Incl.
1 Week Intensive
(Venue & Starting Date) ___________________
Continued Professional Workshop for Graduate
Students (Full
fee required with booking form)
£60 Incl.
1 Day
(Venue & Starting Date) ___________________
All Information
is required in order to process your
registration
Title:
Mr
Mrs Ms Miss
Please Circle
First Name:
______________
Surname:
________________________
Address:
______________________________________________________
______________________________________________________
Town:
______________
City:
____________
County:
______________
Postcode:
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Country:
______________
Home Telephone:
_________________
Mobile Telephone:
______________
Email Address:
_______________________
Occupation:
______________
Date of Birth:
___/___/___
Please make Cheques payable to: The Academy of
Transpersonal Therapies
I enclose a Cheque for the sum of £
Full Payment/Deposit
(Please Indicate)
Date:
____/____/____
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