Trauma Sensitive Mindfulness Webinar Registration Form

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Registration form for Mindfulness in Arabic's Trauma Sensitive Mindfulness Webinar with David Treleven and Juditta Ben-David

Name

Phone

Location

Profession

Mindfulness Teacher

Psychotherapist

Social Worker

Trauma Therapist

Body-Oriented Therapist

Humanitarian worker

Yoga Teacher

Other:

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How did you arrive to the Webinar

Mindfulness in Arabic (MiA)

Somatic Experiencing Trauma Institute

David Treleaven

MUDA

Pyschodharma

Other:

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Payment

Please complete your registration payment of $35 USD/ 125 NIS by transferring funds to the following bank account or through paypal at www.paypal.me/mindfulnessinarabic. Please email us at info@mindfulnessinarabic.org to confirm your transfer.

Bank: HaBenLeumi (31)
Bank Account Number: 409-187720
Branch Number: 091

Account Name: Beyond Words NGO
******PLEASE INDICATE: For Webinar . (If you do not include this you will not be registered for the event).******

Payment Method

Paypal

Bank Transfer

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Thank you!

We look forward to meeting you online! Please write to info@mindfulnessinarabic.org with any questions

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