Partner 1 Details
Please provide as much information as possible on this form
Name
First Name
Last Name
E-mail
*
Mobile
Best contact number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Partner #1 - Select your spiritual belief
*
Standard Non Faith-Specific
Catholic
Protestant or Non-Denominational
Orthodox Christian
Jewish
Interchurch/Interfaith
Any food allergies to be aware of?
Which do you prefer? Coffee/Tea and how do you like it?
This is so that we know we have it available for you during the intensives
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Submit and complete Partner 2 details
Partner 2 Details
Please provide as much information as possible on this form
Name
First Name
Last Name
E-mail
*
example@example.com
Mobile
Best contact number
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Partner #2 - Select your spiritual belief
*
Standard Non Faith-Specific
Catholic
Protestant or Non-Denominational
Orthodox Christian
Jewish
Interchurch/Interfaith
Any food allergies to be aware of?
Which do you prefer? Coffee/Tea and how do you like it?
This is so that we know we have it available for you during the intensives
Back
Next
Payment
prev
next
( X )
Intensive Workshop
(
$
500.00
AUD
for the
first month
then,
$
2,500.00
AUD
for each
month
)
Full Discounted Payment
(
$
5,000.00
AUD
one-time payment)
Click Here to Complete Registration
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