Course Registration

Transaction Information:
Description: Booking deposit to secure place
Course: Mindstream Meditation
Venue: D4 Hotel
Course Fee: 95
  Contact Details:
*Name:
*Address:
*Telephone:
Mobile:
Work:
Fax:
*Email:
  Personal Details:
*Employment 
History:
*How did you 
hear about this 
course?:
*Qualifications or 
Experience:
  Payment:
*Payment by: Credit Card
Cheque
*Payment Options: Full Payment
Deposit 30%
If paying by cheque, please make payable to "Seann Farrell", and post to the address below.
*Amount:
* Enter the number (spam prevention):

 

 

 

 

 

Dublin Office – The Research Centre, National College of Ireland, Mayor Street, Dublin 1, Ireland
P + 353 1 7979175 - Email: info@mindstream.ie