Booking form 
Thank you for registering for the Light Language, Soul Journey and Human Design evening, we're excited to see you there.

Friday September 6
7pm – 9.30pm
The Art and Living Space
17 Bradey Road, Pāuatahanui 5381
 
$30 per person 
Please pay by internet banking to secure your place, using your name as reference: C Longley 38-9012-0429665-00

Confirmation of your ticket will be emailed once payment has been received. If you would like to receive your Human Design print out on the evening, payment must be made before September 2 and please answer the questions below. Personal information will remain confidential. 

Looking forward to a fun, uplifting evening
Cate and Christina

For any questions:
Christina: withlove@christinalongley.com 

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Name *
Date of birth
Time of birth
Place of birth (town and country)
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