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INTUITION DEVELOPMENT WORKSHOP REGISTRATION FORM

Name:


(First)	(Middle)	(Surname)

Date of Birth:

Name you would like to be called:

Address: (resi.)

Address: (Office):

Phone Nos.:- (R)

(O):

Mobile:

e-mail ID:

? 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:" INTUITION DEVELOPMENT WORKSHOP"

Venue: Tao, 209, Krishna, Laxmi Ind. Complex, Vartak Nagar, Thane (W).
Day, Date, Timings: On 21st August 2005 Sunday 9.30 am to 5.30 pm

Payment Details: Enclosed Cash / Cheque drawn in favour of

"TAO ANAND SPIRITUAL CENTRE", Amount: Rs.

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:

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