Heart Song
~ COURSE & WORKSHOP ENROLMENT FORM ~
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Name |
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Address |
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Tel
no.
Email Address |
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Enrolling on these courses means that you have read, and agree to our
Terms &
Conditions
Signed: Date:
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Please tick which course you would like to enrol
on:
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1st Degree Reiki |
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Reiki Masters Level |
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2nd Degree Reiki |
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Advanced
Reiki |
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Sound Knowledge:
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Full Course |
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Module 1 – Foundation Studies |
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Module 3 - Voice |
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Module 2 – Himalayan Bowls |
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Module 4 - Crystal Bowls |
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Method and frequency of payment: |
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Cheque/PO
(UK only)
payable to: E. M. Whitebear |
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Credit / Debit Card |
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I enclose full payment of £ __________ |
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I enclose my initial payment of £_________ and will pay
____ instalments of £ __________
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Credit/Debit card: I give permission to debit my card with
each monthly instalment |
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Please Debit my (please
circle) VISA/MASTERCARD/MAESTRO/DELTA/SOLO/ELECTRON |
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Name on card |
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Card No. |
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Start Date: |
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Exp. Date: |
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Issue No.
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Signature:
Date: |
Post completed form
to: E. M. Whitebear - Heart Song, 4 Royal Oak Cottages, Shalbourne, Marlborough, Wiltshire, SN8 3RW, United Kingdom |