Course registration form

Course & Cost: *(Please select the course you are registering for)2 hour Online Introduction to Dowsing – Beginner’s Course Part 1 $394 hour (2 x 2 hour) Online Beginners Course Part 2 & 3 $59Full day in person Advanced course $120

Course name (please type the name and date of course you wish to register for) *

Salutation (Dr/Mr/Mrs/Ms/Miss)

First Name *

Last Name *

Address Line 1 *

Address Line 2

City/Suburb *

State/Territory *

Postcode *

E-Mail *

Phone *

Payment made by bank transfer (please tick here to confirm your payment) *