Logosynthesis Basic - Online / Registration
June 2021
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First Name *
Last name *
Email *
Cellphone *
Address [please let me know if you require an invoice] *
How did you hear about this course? *
I am able to attend the course on these dates: *
Required
Referring to above dates, which would be your preferred time zone: morning or afternoon CET *
Please share shortly your background and reason for wanting to learn Logosynthesis® *
Comments or questions you may have
Payment Details
Your registration is effective upon receipt of payment CHF 689 [or at agreed fee].

IBAN: CH52 0020 6206 N416 1658 0 | Swift/BIC: UBSWCHZH80A | UBS AG | P.O.Box | 8098 Zurich | Switzerland
Account name: Pamela Ann Burkhalter | Hohenklingenstrasse 45 | 8049 Zurich | Switzerland
Thank you for your registration. I look forward to welcoming you!  Love, Pamela
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