Getting the Love You Want
February 5th-6th, 2022
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An Imago Weekend Workshop for Couples               Kalanit Ben-Ari, PhD
REGISTRATION FORM

Please complete and submit ONLY after making the payment.
Thank you.  

I wish to register for:  “Getting the Love You Want” workshop on February 5th-6th, 2022.
Cost: £600 per couple.
 
Payment by bank transfer:  please make your payment to the Kalanit Ben-Ari & Associates Ltd account as follows:
Santander, Account: 04334426, Sort Code: 09-01-50, Name: Kalanit Ben-Ari & Associates Ltd.

When making a direct transfer PLEASE identify your payment with your full name, the month of the workshop & “GTLYW”, e.g. “Alex & Ben June GTLYW”.

Payment by PayPal: Go to paypal.me/kalanitbenari , write £600 and pay directly via your PayPal account.

Irrespective of your chosen payment method please email kalanit.benari@gmail.com this form.  

PLEASE NOTE YOUR BOOKING IS NOT CONFIRMED UNTIL PAYMENT IS RECEIVED IN FULL and submission of this form.

VENUE:  London
Refreshments - Tea/coffee will be provided in morning and afternoon breaks.

Saturday 5th of February 9:00-18:30
Sunday 6th of February 9:00-18:30

Cancellation policy. A registration fee of £75 is non-refundable.
For cancellation before January 4th, 50% of payment will be refunded.
For cancellations after January 4th, no refunds will be given.


Full Names of the couple *
Address *
Phone Numbers *
Email addresses- please provide an email address for each partner *
Occupation *
How I heard about the Couple Weekend
Paid by *
 Date of payment *
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Privacy Notices : REQUIRED: By submitting this form I consent to Kalanit Ben-Ari to collect my data from this form and contact me via email or phone for the purpose of the workshop. I understand that none of my personal information will be sold or passed on to a third party. However, my data will be kept on the company data based for relevant news and events, unless I request by writing to remove me from the data based. *
Please complete and submit ONLY after making the payment. Thank you. I look forward to meeting you, Kalanit.
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