Australian Registration Form for Workshops with Daphne Hewson
Please print this form and fill in one for each participant, then
either
post to
Joyce Fisher at
PO Box 2460, Green Hills. NSW 2323 Australia
or fax: 02 49 34 8878
or email to Joyce
[To email - copy this form (press Ctrl A to highlight form, then press Ctrl C to
copy form), paste into new email form (ctrl V) after
clicking here, and fill in details]
First name:
Last name:
Organisation:
Postal address:
Postal address cont:
City:
Postcode:
Phone (include area code):
Mobile:
Work
Email:
Home Email:
Name required on receipt:
Is this your first workshop with Daf? Yes No
Which workshop are you registering for (including City & Date)?
Payments
Please make cheque out to:
Viva Wellbeing
and post to: Joyce Fisher, PO Box 2460, Greenhills. NSW.
2323. Australia
If you have not received confirmation of payment by email within 10 working days, please contact Joyce
Receipts will be issued at workshop
Note:
CREDIT CARD facilities
are not available at present.
Cancellation Policy
If unable to attend, registration may be
transferred to a nominated replacement.
Otherwise a full refund for cancellations is paid up to 5 days prior to
workshop.
If cancellation received less than 5 days prior to workshop then $50.00 will be
deducted from refund.
Please notify cancellations by email to
Joyce
If unable to cancel by day of workshop a full copy of notes will be posted to
you.