APPLICATION FORM
DREAM WITH THE SOUL OF THE WORLD - online imagery course
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NAME *
SURNAME *
DATE OF BIRTH *
MM
/
DD
/
YYYY
FULL ADDRESS (for the official invoice)
E-MAIL *
I am applying to: *
Registration Question #1: Are you able to attend the full course? *
Registration Question #2 & 3:  What do you hope to get from this course? If you dared hope for a little more, what would that be?* *
REGISTRATION OPTIONS *
AMOUT I WOULD LIKE TO DONATE (Payment for this course is voluntary. If you would like to support our ongoing work, please contribute an amount that feels good, right, and appropriate to you and respects your financial situation. If zero feels like the right amount, please trust that, with our blessing. Either way, you will have equal access. We are so grateful to all who donate and make our work possible.) *
Does this bring up any thoughts or feelings you would like to share? Is there anything you'd like to tell us about your choice of registration options?
I need an original invoice. (if for a company, we also need the VAT - tax number of yr company) *
Application information is the same as billing information (if not please specify billing information in the comments). *
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