ENROLMENT FORM: Essentials, Auckland February 2020
Psychosynthesis South Pacific Trust
Personal Information:
First Name *
Your answer
Last Name *
Your answer
Email *
Your answer
Phone number *
Your answer
Postal address *
Your answer
Suburb *
Your answer
Town / City *
Your answer
Country *
Your answer
Postcode *
Your answer
Do you have any medical conditions and/or medications that may interfere with you completing this course? *
If you checked “yes” please tell us about this:
Your answer
How did you hear about this course? *
Your answer
Would you like to be included on a Psychosynthesis database and receive emails regarding other courses, events and seminars? *
Course Fees
6 Day Course, Total $950

To secure your place, along with your online enrolment form, please make a $100 deposit to:
Psychosynthesis South Pacific Trust – 38 9019 0487577 00
Reference: your surname / essentials

Balance $850 due Monday 20 January 2020

*** ENROLMENTS CLOSE - 20 January 2020 ***

CANCELLATIONS If you should decide to cancel your enrolment, your deposit/balance is refundable up until 22 January 2020, less admin fee $50.

DISCLAIMER ‘The Essentials of Psychosynthesis’ will proceed subject to receiving minimum enrolment numbers. Enrolled students will be advised by email when the course has reached minimum numbers (22 January 2020 or sooner). In the event of the course not proceeding enrolled students will receive a full refund of their deposit/balance.

For further information please contact: admin@psychosynthesissouthpacific.com
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy