Registration Form
16th Health Qigong Instructor Course 2024
10th Mar - 16th Jul 2024
Please enter your details below, then click 'Continue' to go to the Confirmation page. Entry titles marked with an asterisk * are required.
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Your Details
First Name *
Last Name *
Phone *
Email *
Address 1 *
Address 2
Town
Region/County
Post Code *
Country
T-shirt size *
Teacher's name
Training background
Training Options
Instructor Course - New
Discount Options (up to date membership only)
Instructor Re-visit or Revalidation
Choose form/s below for your registered options;
Option A - choose one form only *
Option B - choose one form only *
Duan Grading
(Members & Instructors welcome)
Duan Grading Options
Enter form/s for Duan Grading
please enter: Duan 1 - 1 form, Duan 2 - 2 forms, Duan 3 - 3 forms
Payment Options
Course Deposit of £300 (leave unchecked if paying full amount)
Payment Method *
NOTE: Discount code cannot be used in conjunction with the member/instructor discount
Bank Transfer Details
Bank: TSB
Name: Deyin Event Management Ltd
Sort Code: 772710
Acc. No: 00062005
IBAN: GB84TSBS77271000062005
BIC: TSBSGB2AXXX
I accept all conditions on the Event Participant Disclaimer *
Billing Total £
Payment Total £
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