Love without pain 1/2 day course
Thank you for your booking.
Please could you fill in your details below.
*There will be inspiring and helpful books and CDs on Meditation and Buddhism available for sale.
*Kindly arrive 10 minutes early to register and settle in.
*You can pay any balance on the day by Credit/Debit card or Cash
*Refreshments will be served half way through the course. If you have any further questions or queries please feel free to contact us. Tel : 021 447 1650 or email:

Surname *
Your answer
First name *
Your answer
Landline or Cell number *
Your answer
Email address *
Your answer
Love without Pain 1/2 day course
Total payment - by EFT or cash at the Centre/branch class
Your answer
We require everyone to pay a deposit of R115 to confirm their place on the course, please state deposit or full amount payment below - Bank details will appear on submission of this form - please save the info.
Your answer
How did you hear about the course? Thanks for your time
Joining Mailing List - If you'd like to receive our updates please give your email address and your local area
Your answer
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Additional Terms