Application form

Want to register for The Pranic Process event?
Please fill out form below and we'll contact you:

If not, please contact us via email or fill this form.

NAME
SURNAME
YOUR LANGUAGE

WHAT IS THE DATE OF THE EVENT YOU ARE INTERESTED IN?

PHONE NUMBER

E-MAIL

COMMENTS

Price: 950 € (when paid at once) / 1150 € (when 100 € deposit paid for reservation, and the 1050 € left - later)

Please pay 100 € (non-refundable deposit) in advance for reservation. If you want to pay the full price and
therefore SAVE 200 €, please make sure that there is an event on selected date and there is a place for you (contact the organisator - CONTACT )

Payment options (please choose one):
 PayPal Bank transfer

Depending on what you've chosen:
a) PayPal - transfer to "veni45@op.pl"
b) Bank transfer information:
Account number (IBAN): PL 46 1140 2004 0000 3412 0029 7903
Recipent: Zofia Buczma ESENCJA ŻYCIA
Bank name and information:
mBank S.A. FORMERLY BRE BANK S.A. (RETAIL BANKING) LODZ, Skrytka pocztowa 2108, 90-959 Łódź 2
Swift / BIC: BREXPLPWMBK
Sort code: 11402004

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