Learn to Meditate RegistrationBowtechworks

Name
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Address
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Postcode
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Home Phone

Mobile
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DOB
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Email
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Occupation

Do you have any medical conditions that would prevent you from sitting or standing for long periods of time or restrict you in any way during meditation practice?
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Yes

No

If yes, please give details

Are you experienced at meditating?
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Yes

No

If yes, how long have you been practicing?

Are you currently on any medications that may affect your meditation practice?

Yes

No

By submitting your registration you hereby give permission for Bowtech Works/Aromatherapy Works to use your email address to send information to you regarding future workshops and promotions etc. Please note your information is confidential and will be used solely for the purposes of this Meditation Group and will not be given out to any third party without your permission.

Disclaimer: The information in this course is provided for educational purposes only. It is not intended as a substitute for professional medical advice of any kind. Bowtech Works/Aromatherapy Works assumes no responsibility for the use or misuse of this information. Please seek medical advice before undertaking meditation if you have a medical condition.

FULL PAYMENT OF $220.00 IS REQUIRED NO LATER THAN ONE WEEK PRIOR TO COMMENCEMENT OF THE COURSE

METHODS OF PAYMENT: (please indicate your preferred method of payment)
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Direct Deposit (Westpac BSB 032-071 Account No. 151929)

Cheque (made payable to Aromatherapy Works)

Credit Card

Credit Card Type
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Visa

Mastercard

Bankcard

Amount:
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Card number:
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Name on card:
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