Individual Registration

Please enter information in the form below to process registration for event Embracing Your Uniqueness.

First Name *

Last Name *

Address

Address 2

City

Zip

Phone

Email *

Comment

Payment Information

Amount

Bank transfer is our preferred payment method. For UK clients it is a simple cost free bank transfer.
For international clients we prefer Transferwise.com - a very reasonably priced international bank transfer method.
All information will be sent concerning payment once you confirm your booking.

Payment Method *

Bank Transfer (I will email you all the details) Paypal

Billing Zipcode*

Credit Card Number*

Expiration Date*

Card (CVV) Code*

Card Type*

Card Holder Name*

Individual Registration

Payment Information

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Korani Light Centre