An Embodied Astrology Weekend

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Registration form

Which weekend will you be attending?

Venue details will be sent upon registration

Alice Springs June 29/30

Adelaide (Aldinga) July 20/21

First & Second Name *

Address (City and Country) *

Contact Phone number (please include country code) *

Email *

Emergency contact *

The following questions are needed to created your personal chart. This information will be deleted and not used after the workshop.

Date of Birth (this is used for your personal chart) include: DAY / MONTH / YEAR *

Place of birth (city and country) *

Time of Birth if known (please be specific with hour and minutes and whether its am or pm) *

Payment:

$300

Please bring your own lunch

morning and afternoon tea will be provided

Bank transfer via:

Kate Mutsaers

Teachers Mutual Bank

BSB: 812 170

Account: 37685

Please write your name in the bank transfer reference

Please inform Kate-Marie once transfer is complete so she can confirm your payment and send receipt: inbodymovement@gmail.com

Once registered Kate-Marie will confirm your payment and send further information

Comments, requests or anything else we should know

For further information or any questions please contact:

or phone 0451 656 271

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