Mindful Living Meeting Registration
Friday 7 February 2020
Melomed Tokai, Conference Room, 5th Floor
Contact: Cath/ Lynne
R80 EFT/ cash at the door (R40 for Members)
Phone (if not on record/ changed)
Professional Qualification/ Expertise
Professional Registration number (if applicable)
Business/ Practice location
Would you like to book a table to display your products/ services? (Additional R50/ Free for Members)
Do you have a slide to advertise an upcoming workshop/ event/ promotion you are running? (Additional R50/ free for Members)
R80/ (R40 members) EFT
Account Number: 1603261700
Branch Code: 470010
Use your name as reference
I have completed my payment by EFT and sent the proof of payment
No - please ensure this is done before registration closes on 5 February
I will be paying cash at the door
Do you have a prize you would like to contribute to the lucky draw?
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This form was created inside of Cath Valentine Coaching.