Course Booking/Registration Form

UK Mother Centre Course Registration Form

To enrol on a course at the Centre, please print out this form, and post it to the UK Mother Centre ~ please note: before enrolling on the Pure Meditation, Natural Spiritual Healing, Progressive Counselling or Teacher Training courses, please ask to speak to a course teacher.

Alternatively you can contact us at the Centre if you require any further information before booking, have any questions, or would like us to post a Course Registration form out to you. Thank you.


Course...............................................................Dates.......................Fees £........................

Course...............................................................Dates.......................Fees £........................

Course...............................................................Dates.......................Fees £........................


Residential/Daily (please delete one)

For which I enclose the full fee(s) of £.......... (Please make cheques payable to the Self Realization Meditation Healing Centre. Thank you.)
OR

OR
Please ring us on 01935 850266 to pay by credit card (please note we are unable to accept credit card details by email.)

 

Expiry Date.......................

Solo/Maestro Issue No..........Solo/Maestro Start Date....................

Signature ..............................................

Name (as on card)....................................................................

Address.......................................................................................

....................................................................................................

....................................................................................................

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Tel. No. (home)............................................................(work).......................................................

Email Address:.............................................................................

Special needs .....................................................................................................................

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How did you hear of the Centre?

Leaflet/poster at........................................................................................................

Recommended by ....................................................................................................

Magazine/paper/article in ........................................................................................

Other........................................................................................................................

....... Please tick here if you DO NOT wish to be added to the SRMHC Mailing List - thank you.

Please print off this form and post it to us at the UK Mother Centre.
(Please do not e-mail the form to us. Thank you.)

Self Realization Meditation Healing Centre
Laurel Lane, Queen Camel, Yeovil, Somerset, BA22 7NU, UK.
Tel. 01935 850266
Fax. 01935 850234.