Emptiness Dancing Bookings

Name*

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Email*

Contact Phone Number*

Your privacy is always respected. Please provide your best contact number - mobile is preferred.

Mailing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Book For Emptiness Dancing with Andrea Juhan*

$370 Pay In Full
$296 Open Floor Teachers In Training Only

Payment Options*

Pay by Credit Card via PayPal (you do not need a PayPal account)

To pay via Direct Bank Transfer:

Bank: Kiwibank
Account Name: Sacred Moves
Account Number: 38-9001-0388239-05
Use your full name as the reference

To reserve your place, please pay within three days of submitting this form.
Please note, your place is only secured once funds have been received.
Once you have paid, please email us at dance@5rhythms.co.nz to let us know - thank You!

Terms and Conditions (must be checked)*

I Have Read The Terms And Conditions:

If for any reason you need to cancel your event booking, your tuition fees will be fully refunded, minus a $50 administration fee, if cancelled before 1 February 2016. Cancellations after 1 February 2016 will only be refunded (minus $50 administration fee) if your place can be filled from the wait list.

The venue, dates and timings are subject to change.

Total

$ 0.00

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Phone

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Register For Emptiness Dancing

by Credit Card via PayPal or Direct Deposit Banking
Titirangi War Memorial Hall, Titirangi, Auckland

Pay By Direct Deposit Banking (our preferred option)

Pay By Credit Card via PayPal

Workshops & Retreats

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