Registration Form | Pranic Healing

First name

Last name

Email

Passport/IC Number (Please ensure that your name is as per your IC/passport)

Phone Number

Street Address

City

State

Country

Postal Code

Are you a New or a Review Student?

New

Review

Do you have any physical health issues & are you on long term medication? If YES please describe your condition & medication.

Referrer's name (person, organizer, or center)

Course Fees : RM1,100 for single payment or RM 599 x 2 months instalment payment Reviewer Fee : RM200 Which is your Payment Plan?

RM 1100 Single Payment

RM 599 x 2 months instalment Payment

RM 200 Reviewer Payment

Please indicate your preferred Payment Method (Kindly whatsapp your payment slip to 0122028974 ) after registering on this form

Online Transfer (Public Bank A/C No: 3207866825 Beneficiary Name: Centre for Pranayoga & Selftransformation (KL) Sdn bhd)

Online PayPal ( PayPal Account - pranichealingmalaysia@gmail.com )

Cash ( Pay on 1st day of workshop )

Debit / Credit Card ( Pay on 1st day of workshop )

Paid On-Site (Complimentary Sessions etc)

Cancellation & Refund Policy - Participants will be refunded 70% of the workshop fees if the cancellation is made by the participant before the course begins. Upon course start no refunds will be made

I have read and agree to the Cancellation & Refund Policy

Anything else you would like us to know?

Add your details

Pranic Healing Level 1 Class Apr (2)