Registration Form India
To book and secure special discount, kindly fill in registration details and specify payment method and e-mail back within 48 hours.
Payment can be made via bank transfer, cash on the day with prior agreement, cheque with prior agreement or on-line booking with credit card. Registration details can be sent back on the attached form or via e-mail by filling the below details.
Name to be written on Certificate (if different from above)
Date of birth__________________________________________
Preferred contact phone number____________________________
Permanent e-mail address_________________________________
Primary reason for attending course, for example personal development, self healing, become a Practitioner ___________________________
How did you find out about our training, for example newsletter, facebook, website______________________________________________
Special needs, for example special diet, wheel chair access ____________
Preferred payment method:
On-line bank transfer – YES/NO
Mera event booking link via credit card or cash on delivery, plus 2% – YES/NO
Cash on the day – YES/NO
Cheque payment, plus 2% – YES/NO
Payment will be made by (date)______________________________
Bank Transfer to Vitality Living
Current account name: Vitality Living
Bank Name: Canara Bank, Puttaparti, Andhra Pradesh
Account number: 2351201000453
IFSC: CNRB 0002351
Go to Book me page to book your seat online.