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Institute of Heart Intelligence - Registration Form
Investment
Early Bird*
(28 day)
Groups *^
(2+)
Refresher
2010 BY DESIGN
$127
-
$97
-
PASSIONATELY ALIVE
Includes food & accomodation$1770
$1270
$100
per person
Half the rate
at time of booking
BONUS! One free ticket to Passionately Alive
Personal Development Level
Includes food and accomodation for the 5 modules
$6770
$5770
Paid by 16 June
$500
per person
Practitioner Level
Includes food and accomodation for the 5 modules plus Practitioner Training days
$8770 $7770
Paid by 16 June$500
per person
Concessions and payment terms can be arranged.
* Early Bird price applies only if fully paid four weeks prior to start of event.
*^Group Bookings of 2 or more people apply to 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:
Seminar Location:
Dates
Name(s):
Phone: (h)
(w)
Mailing Address :
Suburb
Postcode
Email Address:
Payment By: Visa / Master Card / Cheque
Cardholder's Name
Credit Card Number
Expiry Date
Amount Paid
Signature
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