Registration form for class/workshop with Carol Squires, Astrologer

Please complete the details, print this form and post payment to Carol (details below).

Please enrol me in the following Term 2 classes:
(1) The Magic of Horary Astrology : from 14 May — 2 July (8 weeks) : $128.00
(2) The life unfolding - Progressing the natal chart: from 17 May — 5 July (6 weeks) : $96.00

(delete whichever is unapplicable)

Personal Details Name:
Address:
City:          Postcode:
Country:
Phone:     Fax:
Email:

Birth data Time:       am / pm
Date:
Town:
Country:

Payment: Please make cheques payable to Carol Squires Astrologer.
(1) I enclose my cheque for the full fee of $128.00.
I(2) I enclose my cheque for the full fee of $96.00

Signature:

Date:

Please post to: Carol Squires, Astrologer, 35 Eastcliffe Road, Castor Bay, North Shore City 0620.

For direct bank transfers please place into the following account:
Carol Squires Astrologer, ANZ Bank Milford, Auckland, New Zealand
A/c # 010178 0147771 00
and phone or email your details to Carol.