Course Booking Form 2011-2012
Download booking form in Adobe PDF format
Thank you for deciding to attend our course programme(s). Please print out this form, read and complete all parts of it and return with payment to:
Susanna Bellini
Bronze Dragon
51 Huntington Road
York YO31 8RL
Tel. (01904) 636216
Email: info@bronze-dragon.com
Title ______ Name ______________________________________________________
Address _______________________________________________________________
Postcode __________________
Tel. day: _____________ night: _____________ Email: ________________________
Course |
Duration |
Dates (circle your choice) |
Investment |
No of
|
Total Cost |
|
Reiki I (York) |
1 day |
25 Feb, |
£85 |
||
|
Reiki II Practitioner (York) |
1 day + cases |
15 Jan, 15 Apr, |
£145 |
||
|
Crystal Healing and |
2 days |
3-4 Mar 2012 |
£130 |
||
|
Crystal Healing Certificate |
7 days |
6-12 Oct 2011 |
£997 |
||
|
Shamanic Energy Weekend |
2 days |
5-6 May 2012 |
£195 |
||
|
Shamanic Energy Healing |
7 days |
TBA 2012 |
£1397 |
||
|
Shamanic Dreaming |
7 days |
2011 TBA |
£1397 |
||
|
Psychology of the Hidden Self |
2 days |
5-6 Nov 2011 |
£247 |
||
|
Tarot Divination |
1 day |
21 Jan 2012 |
£55 |
||
|
Tarot Journeys |
1 day |
18 Feb 2012 |
£55 |
||
|
NLP - Mastering Success |
1 day |
19 Feb 2012 |
£85 |
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|
Trance Energetics |
2 days |
10-11 Mar 2012 |
£110 |
||
|
NLP - Creativity |
1 day |
20 May 2012 |
£85 |
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|
Reiki III Master (any location) |
1 day (+ assist) |
Call to arrange |
£595 |
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TOTALS: |
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GRAND TOTAL: |
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PAYMENT OPTIONS (Cheques/postal orders, made payable to Bronze Dragon)
Payment in full: I enclose a cheque/postal order for: £ ____________
Initial Deposit: I enclose £260 non-refundable deposit per course (or pay in full).
Remainder is due 1 Month before start date: £ ____________
Payment by credit
card: 
Card No. _______________________________________________
Expiry date: _______ Security No._________ (3 digit number on the back of the card)
Issue No. (Switch) ____
Please debit my card for £ _____________
Signature: _______________________________________
Do you require a location map YES / NO and / or accommodation details? YES / NO
Where did you first hear about Bronze Dragon ? Search engine / Advertisement / Friend / Other ?
Details ____________________________________________________
If you have any special requirements, please request these when booking.
Booking Conditions
Full terms and conditions are available here:
http://www.bronze-dragon.com/terms.shtml
I have read and agree to these terms and conditions:
Signed_______________________________________ Date _________________