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Participant's Name: ...................................................................................
Address: .................................................................................................
.............................................................. Post Code: ................
Phone Number: ................................................................. (Home)
Phone Number: ................................................................. (Work)
Email Address: .............................................................. (please print clearly)
Course Attending: ...................................................................................
Please phone or email to reserve a place and enclose registration form with cheque made out to Compassion Coach. 7 Settlers Rise, KILCOY bQLD AUSTRALIA 4515
If no workshop is scheduled in your area please contact me to express your interest in attending and I will endeavour to schedule one.