enneagram institute japan

Enneagram event with Russ Hudson 2018
application form

1. FILL IN THE APPLICATION FORM ▶ 2. CHECK THE FORM ▶ 3. SEND THE FORM

Registration

How to register

If you wish to participate an Enneagram event with Russ Hudson, please send the following form.

Your application will be officially accepted upon the receipt of the participation fee. 


Please transfer the participation fee to the bank account below.

Bank Name: Shizuoka Bank
 1186-33, Yawatano, Ito-shi, shizuoka, Japan
 Izukogen branch
 Type of Account:futsu yokin
 Account No. :0098887
 Account Name: Yugen Gaisha Shii Purasu Efu kenkyujyo
        (C+F Institute)

Note: Please pay the bank handling charge yourself. If you transfer the money not by your name (such as your company's name), please notify us.

Cancellation Policy

You cannot receive a refund for the cancellation of your participation once the payment is made unless it is due to the sponsor's circumstances. However, you can give your right to someone else.

Application Form

* - Required Field.

Note : Please be assured that your privacy will be protected.

*Please check the appropriate box(es) below for your application.
*First Name
*Family Name
*Gender Male Female
Age
*Address
*Phone
Fax
*E-mail

Note:If your e-mail address is not entered, you cannot send this form. Also please make sure that your e-mail address is correct. If it is incorrect, you will not receive our reply. If you do not have an e-mail address, please send this form by fax or mail.

Occupation
How did you get to know about these events?
Experience in Enneagram
Please give some reasons or expectations for your participation
Comments if any

Upon the completion of this form, please press the button below.

When we receive your application form, we will send you a reply.
If you do not receive our reply, please check if your e-mail address was correct.

  


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