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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

$1570

$1370

$1270

 $100 discount
  per person






      BREATHWORK  TRAINING
BONUS: Includes One FREE ticket to Passionately Alive!




 

Personal Development Level
Includes food and accomodation for the 5 modules

$5,652
$4,572
Paid by 30 June

$500 discount
  per person





Practitioner Level
Includes
food and accomodation for the 5 modules plus


Practitioner Training days
  
$8,652


$7,572

Paid by 30 June

$500 discount
  per person
Individual Modules
Bonus: Attend 4  get 5th one FREE!

           Circle to select:
Alchemy
    15th - 18th July
Awakening Inner Child
     12th - 15th August
Manhood & Womanhood
    
9th - 12th September
Heart Tantra
     14th - 17th October
Radical Breakthroughs
     18th - 21st November
Number of Modules
10% discount for multiple modules
Attend four and get the fith module FREE

1

2

3

4

5
Regular Fees
$1,570
$2,826
$4,239
 $5,652
 $5,652
Super Early Bird (paid in full 14 days prior to first module)
$1,270
$2,286
$3,429
$4,572
$4,572

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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