Online Meditation Course Application Form

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    * Name - Surname:

    Gender:
    MaleFemale

    birthday:

    * Email:

    * Contact number:

    Which town do you live?

    * What do you expect from this course?

    * Other reason:

    Joining with friends get cheaper price.
    *Special Free for students!
    Just upload your student card instead of proof of payment.

    Number of friends, you register for... (leave 0 if you didn't invite anyone to join)

    *1:

    *2:

    *3:

    *4:

    *5:

    *Please fill all people name and contact number:

    You have to pay R100

    You have to pay R150

    You have to pay R200


    Bank: FNB
    Bank account no: 63045411103
    Account name: BUDDHIST TEMPLE OF CAPE TOWN NPC
    Type: BUSINESS ACCOUNT
    Branch code: 250655
    Swift code: FIRNZAJJ

    * Upload Proof Of Payment

    * Required