Registration for 'Reclaiming our Magic, Reclaiming our Selves'
Registration for attending this 'Elements of Magic' in the beautiful Byron Bay hills on Saturday 18th & Sunday 19th February 2017.

This form includes details how to pay, and how much to pay.
In the event of the course being cancelled, all money will be refunded immediately

Your investment for this empowering 2 day magical adventure is $300 (for those whose income is $40,000 per year or higher) $225 (for those whose income is between $20,000 - $40,000 per year) and $150 (for those whose income is below $20,000 per year). Please send me an email if you would like to discuss payment options or would like more details about what level to pay:

Secure your place, with a non-refundable deposit of $75, you can also pay the full amount now. The balance is due 2 weeks before the course begins, by February 4th 2017.

Payment method is by bank transfer to: BSB 082 729. Account no: 170262855. Name of account: Rose Weaver. Please use the reference: 'Elements' and 'your name' on the bank transfer. After your payment, please notify me by email on or PM me on Facebook that you have made your payment and the amount.

Email address *
Your Name: *
Your answer
Email address: *
Your answer
Telephone number: *
Your answer
How much are you paying today? *
Your answer
Do you have any prior experience or knowledge of Reclaiming or Elements of Magic? *
Do you have any accessibility issue we should know about? *
A copy of your responses will be emailed to the address you provided.
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms