Total Biology Consulting, Vancouver - Registration Form

Personal Information

Family name :
Given name (s) :
Profession :
Motivation and/or objective  :

Contact Information

Address :
City :
Postal code :
Telephone home :
Telephone work :
Email :

Course Selection

I am registering for the following course(s) :

			Date	Location
Level I
Level II
Level III
Other

I am signing up for this specific workshop :

			Date	Location
Children and scholastic problems
Other

I will attend the following Presentation :

			Date	Location
Illness, the brain's ideal solution
Other

   

For the cost of each event, please refer to the announcements in this site under the headings: "Courses", "Specific Workshop" and "Presentations".

To sign up, think about "early bird registration" or "regular registration", and send us your cheque for the total amount.

This will save time and some administrative costs.

Please make your cheque out to : Gilbert Renaud

Please send it to :

Total Biology Consulting, Vancouver
3120 Glen Drive, Vancouver, BC, V5T 4N6

• Receipt of your cheque will confirm your registration.
• You will be given an official receipt at the event.
• If for any reason the event is cancelled, you will be reimbursed for the full amount. Thank you!