Seminar registration form

Fill out the registration form below to secure your place: Simply complete the form below and arrange payment by bank transfer.

Early booking is essential to secure your place.

Cost: *

Seminar name (please type the name and date of seminar 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 by bank transfer to:

Bendigo Bank, BSB: 633000. Acct No. 189730542, Acct Name: Dowsers Society NSW Inc. (Quote Reference: Your name + date of seminar)

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

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