Course Booking Form 2010
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
St John's House
2 St John Street
York YO31 7QT
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 |
1 day |
27 Feb , 27 Mar, |
£80 |
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|
Reiki II Practitioner |
1 day + cases |
28 Feb, 28 Mar 2010 |
£140 |
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|
Crystal Healing and |
2 days |
20-21 March 2010 |
£130 |
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|
Crystal Healing Certificate |
7 days |
19-25 April 2010 |
£997 |
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|
Shamanic Energy Weekend |
2 days |
6-7 March 2010 |
£195 |
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|
Tarot Magick Weekend |
2 days |
TBA |
£210 |
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|
Shamanic Healing |
7 days |
10-16 May 2010 |
£1397 |
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|
Shamanic Dreaming |
7 days |
18-24 Sept 2010 |
£1397 |
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|
Shamanic Soul Healing |
5 days |
30 Oct - 3 Nov 2010 |
£1397 |
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|
Reiki III Master (any location) |
1 day (+ assist) |
Call to arrange |
£595 |
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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 _________________