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Bookmark and Share Online Booking Form for Kerrie's Reiki Courses

Reiki Course Booking Form

You may send this form to me at any time
before a Reiki course is scheduled,
and I will notify you of upcoming dates

Four Steps:

  1. Optional: Find your accurate birth time to assist me to recognise any personal challenges you may experience with each level of Reiki. (Contact me for suggestions if your birth time is a problem)
  2. Please fill out the form below and simply hit the SEND button when complete
  3. I will then email you to confirm your place or to make other arrangements with you. You are free to contact me by phone or email, at any stage.
    (See the Contact Details page)
  4. Once a course is arranged for you, the next step is the Deposit for the course, as per information on the BodhiMind Reiki Courses page.
    (Please note: the balance of payment is due BEFORE the day of the course)
  • Please see the Payments page for all payment options including credit & debit cards;
    (credit card payments are not processed via this Form)
  • Or you can use the Paymate Express button on the left sidebar of each page, under the Currency Converter)
    ... Please write the word "deposit "(or "full payment" as the case may be) in the "Order or Item Number" field.)
  • Fee information can be found on the
    BodhiMind Reiki Courses page
  • Please provide as many contact details as possible in case I may need to contact you urgently before the course
YOUR CONTACT INFORMATION (*required fields)
REIKI LEVELS


  Level One Course
  Level Two Course
  Level Three Course (this NOT the Master Level)



    Yes     No



Yes: Level One       Yes: Level Two       Yes: Level Three







 No     Yes       If Yes, Kerrie will contact you for arrangements
BIRTH DETAILS (optional, except for *)
        


     am    pm

















   

Male       Female

Please tick if you are currently an Ordained member
      of any Buddhist Sangha

ANY COMMENTS OR QUESTIONS?




KERRIE WOULD LOVE TO KNOW (entirely optional)






READY TO SEND?
     


PRIVACY POLICY

Any information provided on this form,
or related to your session in any way,
is treated strictly confidentially,
and will never be given to a third party.

SUGGESTIONS?

Any technical difficulties experienced with this site,
or suggestions for enhancements to this Form,
can be reported to Kerrie by email:
webmaster@kerrie-redgate.com

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Instructions


Please fill out this form online and simply click the 'Send' button. This will assist the booking process to secure your place in Kerrie's 'BodhiMind Reiki Courses'.

Thank you so much
for your assistance.
— KR

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