Paradigm Shift Trainings Box 6010, Zimbali, KZN, 4418

REGISTRATION FORM Venue: East Rand Course dates: Investment Fee: R1500.00 – payment plans as below with discounts!!! R750.00 registration fee required to secure your booking Please complete by PRINTING CLEARLY – BIG AND BOLD - or typing in your details below: First Name: Surname:

Tel (H): Tel (W): Cell: Fax: Email: Province: Physical Home Postcode: Address: Occupation: D.O.B. Marital Status:

Your financial investment in yourself for this workshop is R1500.00, thank you for your deposit of R750.00. You can choose payment plans as below for the balance of R750. An invoice will be emailed to you, please specify email address. Thank you in advance & may your investment return to you abundantly in every area of your life. Invoice to: ………………………………………… Email address: ………………………………………

Please pay R750.00 registration fee to secure your seat. Banking details: Beneficiary: Infinity Bank: First National Bank Branch: Boksburg Account no: 62381317926 PLEASE write YOUR NAME and LLH, on your deposit slip. Please email to proof of payment to - [email protected]

Conditions: A registration fee of R750.00 is required to secure your space. Please fill in all of above details & email back to [email protected] with proof of payment. Postponement or Cancellation of your booking has to be done in writing at least 7days before the workshop date. Registration fees are not refundable. Balance of payment of R750.00 to be paid before commencement of the workshop. Your submission of completed registration form confirms your acceptance of these conditions.

Signature: ______

LOVE YOURSELF ~ HEAL YOUR LIFE WORKSHOP REQUIREMENTS:

Venue: East Rand Day 1: Registration at 08:00. Course starts at 09:00 and ends by 18:00 Day 2: Course starts at 09:00 and ends by 18:00 Refreshments: Teas, Coffees, Water, Juice and Biscuits will be provided Please bring the following: A journal / notebook & pen. (This will become your very special journal to write-up and record important stuff about yourself and your journey) A mirror – at least 27cm x 27cm (a bathroom mirror tiles from the hardware shop works well). PLEASE NOTE - make up mirrors are not suitable. Warm socks + a firm cushion/pillow + a little blanket too. Lunch to share Your own special juices; healthy nibbles eg: yoghurt, dates, raw almonds, figs, etc Dress casually and comfortably. Shorts/tracksuits are fine.

A pre-evaluation form will be emailed to you for completion upon receipt of your registration form. This evaluation form MUST be handed in at registration on day 1. Please feel free to contact me should you require any further assistance. I look forward to sharing this incredible journey with you.

Lynda Ludwick Heal Your Life Workshop Facilitator Spirit Power & Purpose Workshop Creator and Facilitator Life Coach, Reiki Master & Aura Soma Practioner 072 968 9003 [email protected]