Registration

Please Fill In All Your Details: Note: You may choose to PRINT OUT THIS FORM and POST THIS FORM WITH YOUR DEPOSIT
I wish to enrol in	(course title)
Course starts	Date Course Fees
First Name
Last Name
Street Address
District/City
Phone Number
Email Address		Please check - is this email address correct?
Name I want the name below printed on my certificate (Include any initials or titles you require displayed)
Do you require accommodation? NO YES
Arrival Date Departure Date

Please pay by Internet banking or send a cheque.

I intend to pay by Internet Banking into
Golden Hill internet bank account number 115351 0040779 00 ( your name as reference)
I will post my cheque of to
Golden Hill School of Healing Arts, 4 Kuaka Street, Oneroa, Waiheke Island, Auckland 1081


	to register for classes

PLEASE NOTE: Golden Hill School of Healing Arts has a new address and phone number
**** 4 Kuaka Road, Oneroa, Waiheke Island, Auckland 1081, Phone 09 372 4166

Golden Hill School of Healing Arts © 2005-2009 .... site map

Updated April 17, 2010 | ComStrat Design