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Sign up for Seminar

Fill in the following form.

We will then send you a confirmation of your request by email. For registration to be ensured, 50% of the fees must reach us at the address given below by 7 April, 2002.

Note: Payment of fees will be taken as confirmation that you have read and accepted the disclaimer below.

Disclaimer

I understand that this is essentially a personal growth seminar. I agree to assume full responsibility for participation in the seminar and all that I experience.

Send your fees to:

Radhika Pandya

10, Altamount Road

Mumbai 400 026.

Please make out Pay Orders or Demand Drafts only in the name of 'The Process Work Institute of India.'

Name:

Address:

Organisation (optional):

Email:

Telephone & Fax:

Tell us about your interest in the seminar (optional) :

Please indicate your meal preference.Vegetarian or Non-Vegetarian:

Seminar Fee ( Rs.) :

Donations to scholarship fund ( Rs.) :

Total Amount Enclosed ( Rs.) :

I have read and accept the disclaimer