Register
REGISTRATION FORM
Music Circle with Sabine Bundschu
5 February 2012
Name…………………………………………………………………………………………………
Address……………………………………………………………………………………………..
…………………………………………………………………………………………………………
Telephone: ———AM/———– PM
Mobile………………………………… Landline………………………………
Email…………………………………………………………………………………………………
Age…………….. DOB……………………………
I am /unable able to sit for long periods of time on the floor.
I have attended/ not attended such workshops in the past.
I would prefer being contacted by SMS Email
I consent to Video footage or photographs, that may be taken during the workshop, being used for internal or promotional purposes. YES NO
I would like to be updated on other programmes by Basic India and OMT .YES NO
_________________________
Signature
Timing: 9.30 am- 5.30 pm
Fees: Rs 1200 incl. Packed Lunch and tea.
Dress Code: Comfortable.
Bring a buddy policy. 10% discount for 1 subject to registration at the same time.
Cancellations:
Upto two weeks prior to workshop full refund minus Rs 200 processing fee.
Upto 48 hours prior 25 % refund.
Only 20 participants accepted. Registrations close after 20.
Please print and return along with payment to:
Devika Sekhar ,OMT,Flat # 204, 2nd floor Dorabjee Classic, 5th Lane Koregaon Park, Pune 411001. Tel:98234 79922
