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Institute of Heart Intelligence - Registration Form
Click here for registration form in word document


Investment

Early Bird*
(14 day)

Super Early Bird
(28 day)

Groups
(2+)
PASSIONATELY ALIVE
Includes food & accomodation

$2,470

$2,170

$1,970

 $100 discount
  per person






      BREATHWORK  TRAINING




 
Certificate III Level
Includes food and accomodation
$3,955
$3,455

Personal Development Level
Includes food and accomodation for the 5 modules

$5,770
$5,270
Paid by 30 June
$4,770
Paid by 16  June
$500 discount
  per person





Practitioner Level - Certificate III & IV Level
Includes
food and accomodation for the 5 modules plus


Practitioner Training days
  
$11,770


$10,770

Paid by 30 June
$9,770
Paid by 16  June
$500 discount
  per person
Individual Modules

           Circle to select:
Alchemy
 

Awakening Inner Child
    
Manhood & Womanhood
   

Relationships
  
Radical Breakthroughs
    
Regular Fees
$1,970
 Early Bird (paid in full 14 days prior to each module)
$1,470

Early Bird price applies if fully paid four / two weeks prior to event.  *^Group Bookings: 2 or more people bookings paid at the same time.

SPACE IS LIMITED - Fees are to payed in full 7 days prior to seminar. If cancelled less than 5 days prior to Seminar; fees are transferable, non-refundable. Late cancellations for seminars are virtually impossible to fill. Cancellations less than 7 days prior to seminars which leave a vacancy unfilled may be charged in full. Once a seminar starts, fees are non-refundable

Seminar Name:
Phone:

Name(s):


(h)

Mailing Address :


(w)

Suburb

Postcode

(m)

Email Address:



Payment By: Visa / Master Card / Cheque



Cardholder's Name



Credit Card Number



Amount Paid

Signature

Expiry Date

To Register: Phone, Post, Fax or Email this form to: The Institute of Heart Intelligence

P.O. Box 198. The Basin 3154 Ph 03 9739 8889 Fax 03 9739 8885 www.eq.net.au info@eq.net.au



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