Online Eurythmy Registration

ASC Hyderabad

Registration Form

EURYTHMY WORKSHOP Module 2 : 19-27th Dec , 2016
Name *
Gender *

Male Female
Address *
Phone
Mobile Phone *
E-Mail *
Dietary Requirements - Only for medical reasons - All food is vegetarian

Vegetarian
Registration Options
Please select an option *

INR 8000 - One module from 19-27th Dec INR 35000 - All 5 modules in one year INR 150000- Entire program 25 modules - 5 years
Payment Mode
Payment Information - Registration and Payment is required by 14th December 2016 *

Cheque Payment Direct Debit payment SWIFT Transfer
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