Registration Form

Please return this registration form for your entry to:

Name of course: __________________________

Date: ____________________________

Total amount sent*: ___________________
 
Please send your registration with full/part payment to:

Ann Turton
159 Maidstone Road
Avonhead 8042
Christchurch        
Telephone: (03) 357 4072

*A receipt for this amount will be given at the course.

 

Name: ........................................................................

Address: ....................................................................

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Home Phone: ..............................................................

Mobile: .......................................................................

Email: ........................................................................

Occupation: ................................................................

Last Chiron Seminar: ...................................................

Dates: .......................................................................

Thank you. Ann Turton