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Institute of Heart Intelligence - Registration Form
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Investment
Early Bird*
(14 day)
Super Early Bird
(28 day)
Groups
(2+)
Includes food & accomodation$2470
$2270
$1970
$100 discount
per person
BONUS - Early Bird Booking
Includes One FREE ticket to Passionately Alive if registered by June 16.
Personal Development Level
Includes food and accomodation for the 5 modules
$6,372
$5,562
Paid by 30 June
$4,932
Paid by 16 June
$500 discount
per person
Includes food and accomodation for the 5 modules plus
Practitioner Training days
$8,652
Paid by 30 June
$7,932
Paid by 16 June
per personIndividual Modules
Bonus: Attend 4 get 5th one FREE!
Circle to select:
Creating Wealth
Awakening Inner Child
Manhood & Womanhood
Relationships
Radical Breakthroughs
Number of Modules
10% discount for multiple modules
Attend four and get the fith module FREE
1
2
3
4
5
Regular Fees
$1,770
$3,186
$4,779
$6,372
$6,372
Super Early Bird (paid in full 14 days prior to first module)
$1,370
$2,466
$3,699
$4,932
$4,932
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