KelpRa

 

 


 

Sacred Woman Booking Form

To register for the Sacred Woman Event/Workshops, simply complete the form below. You may print it off and submit it with your payment.
Please take time to read our Registration Details (incl. concession rates)

Name:
Address:
Postcode:
Tel:

Email:
 

Sacred Woman Payment Plan
   
Advance
Late
Amount Due
  Womb Wellness
£55.00*
£65.00
  The Nine Gateways
£55.00*
£65.00
  Both Workshops
£95.00*
£110.00
 

Please ensure you enclose a photocopy of proof of eligibility if
you are claiming concessionary
     
£
Qty.
Amount Due
  Sacred Woman Book
£19.99
  Vegetarian Meal
£5.00
  Tickets for Sacred Woman Event
£15.00
           
  Group Bookings      
  Group Name
  Group Size    
  Group Leader: Please fill in your personal details above
  Group Payment
Amount Due
         
  TOTAL DUE    
  *Workshop price includes the cost of Queen Afua's Woman's Herbal Tonic
         

Please return with payment to:
KelpRa
 13 Pioneer House
46 Britannia Street
London WC1X 9JH
For further details contact us on 020 7278 1316, or email kentake@hotmail.com / sacredwoman@blacknet.co.uk

Thank you for taking the time to complete this registration form.
Please read our Registration Details (incl. concession rates)

 

 

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