APPLICATION FOR LESSONS

To apply to receive the Lessons, you have two options:

You can apply Online using this form, or

You can Print Out Another Form Here, that you can then fax, or mail to us.


NAMES
Last Name:      
First Names:  

ADDRESS
Street:        
City:          
State:           
Country:        
Area/Zip Code: 

TELEPHONE
Home:       
Work:     
Fax:      
Mobile:   
Email:    
URL:      

Please fill the section below that applies to you:

  I am already an Initiated Member of the Guild:
	  I enclose A$10.00 for the first Lesson.

  I am a Member of the Guild, but not an Initiated Member:
	  I wish to order a copy of the Mantra Meditation Tape & enclose A$18.00 for this.
	  I enclose A$10.00 for the first Lesson.


  I am neither a Member nor Initiated Member, and I wish to join the Guild as an Initiated Member:
	  I wish to order a copy of the Mantra Meditation Tape & enclose A$18.00 for this.
	  I have filled in the  Membership Application Form and sent it with this form.
	  I enclose A$10.00 for the first Lesson.


PAYMENT AUTHORITY

The total amount I have enclosed is A$


I am paying by Credit Card

CREDIT CARD AUTHORITY
My credit card is:  


Number:  

Valid from(mm/yyyy):  /    Valid to(mm/yyyy):  /


Date of Completion of this form is:

N.B.: You can make your Membership Fee and/or Training Fee payments automatically each year by credit card. To do this, fill in the Automatic Fee Payment Form. You save A$5.00 per fee by doing this.

NETWORK TRAINING PROGRAM DIRECTORY
Produced by Biame Network Inc., P.O. Box 271, Seymour, Victoria 3661, Australia
Telephone: 1800 244 254 (Freecall in Australia); +61 3 5799 1198 (International)
Facsimile: +61 3 5799 1132
Email: biamenet@eck.net.au Website - http://www.biamenetwork.net