Registration Form

Registration form

Please complete the registration form below to reserve your place in the Passion Test Workshop.

SPECIAL INTRODUCTORY PRICE: $59 (+GST)
(Regular price $79)

After the form is completed you will be given the option to pay online via PayPal or be given details on where to send a cheque.

Name REQUIRED
Email Address REQUIRED
Phone (Incl. area code) REQUIRED
Your Address REQUIRED
Workshop Location REQUIRED
Workshop Date mm/dd/yyyy REQUIRED
I wish to pay online I wish to pay by cheque (In order to guarantee your seat , please mail cheque at least 10 days prior to workshop date)