ASTRAL TRAVEL CLASSES: REGISTRATION FORM

Payments to be made by Cash along with duly filled registration form enclosed herewith. If you need any help, please feel free to contact on (M) 9224127682, 2536 2118, Telefax: 2567 4089.

Please Note: Only those who have completed AURA Workshop at TAO are eligible to attend these classes.

Dress Code during Classes: Comfortable white or any light color cotton clothes. (Synthetic, tight fitting & dark color clothes to be avoided).
Name:
(First)
(Middle)
(Surname)
Date of Birth:
Name you would like to be called:
Educational Qualifications:
Your Profession:
Address: (resi.)
Address: (Office):
Address for Communication:
Phone Nos.:- (R) (O):
Mobile:
e-mail ID:
Specialization, if any:
Designation:
Your Specialty:
If you have any health related Problems, Please mention here:
Are you practicing the following?
Please tick those, which you practice.
Surya Namaskar
Yogasan
Panayam
Brahma Vidya
Sudarshan Kriya
Sahaj Yoga
Aerobics
Bio-energy exercises
3SRB
25HB
49HB
Reiki
Pranic Healing
Soham sadhana
Mantra Yog
Surya Yog
Vastu
Pyra Vastu
Feng Shui
Pyramidology
Alternative Medicines
Counselling
Meditation.
Any other practice, not mentioned above:
? I want to be informed about other programs by e-mail: Yes / No
? Please send me the mailer at my Office / Residence Address.
Program Title:" ASTRAL TRAVEL CLASSES"
Venue: Tao, 209, Krishna, Laxmi Ind. Complex, Vartak Nagar, Thane (W).
Day, Date : 18th September 2005 to 3rd October 2005
As full payment for the program.

Write THREE best topics of your Interest:
1)
2)
3)


Any other details you would like us to know:

I have read the leaflet and/or attended the introductory session and I have understood the details of this program. I agree to abide by rules & regulations of the program as indicated by facilitators from time to time. I understand that the program is basically for "Self Growth" and I take the full responsibility of the outcome.
Date:

Declaration & Release form: I here by declare that I wish to join Astral Travel Classes at my will. I will follow the instructions for my own growth. I assure that my behavior during classes will be conducive to learning and will not create any hindrance in other participants learning. I take my own responsibility and release all other (including organizer, facilitator and fellow participants) for any consequences whatsoever.

    
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Weekly Event

Prem comments on
"Shiva-sutras". Every
2nd and 4th thursday
of every
month,
6pm to 9pm

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Mahakriya and Meditation:Every saturday 7pm to 9pm.
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Forthcoming Event

 

 

 

 

All Rights Reserved 2005 Prem Nirmal 133, Shanti Ind. Estate, Sarojani Naidu Road, Mulund (w) Mumbai- 400080 Ph: 25604250 Fax: 022-25674089