Enrolment and Payment Page

Please print out this enrolment form and fax to 07 3278 5225.

PERSONAL DETAILS
1  First and Last Name

Please enter ALL contact fields even if you are currently attending
Address
Suburb   Pcode
Work Phone Home Phone 
Mobile 
Email

ENROLMENT DETAILS -  Please note that some meditating groups will have $15 or $30 added to the fee below for the Group day or weekend.
2

Type of enrolment 
For: 


How did you hear of the School?  
Comments:
Card Type
Card Number
Expiry  mmyy
Name on Card