This form is for Advanced PSYCH-K Workshops in New Zealand.

Registration & Payment by either Paypal, Cheque, Money Order or Electronic Deposit.

Please fill out the following registration form:

Full payment for PSYCH-K Advanced Workshop  - $800

Refresher Course for Graduates - $400

Deposit - $ 200

Balance after Deposit - $600

Please make cheques or money orders payable to Julienne Rose and post to:
Julienne Rose, PO Box 477, Warkworth, New Zealand

OR

Direct Electronic Payment to Westpac 030481 0083264 00

OR

Pay by Paypal

Please identify payment with your full name.


Refund Policy: Refunds may be requested in writing or by phone.

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