Registration Form

NAME:_______________________________________________________________

ADDRESS:____________________________________________________________
_____________________________________________________________________

Country: _______________ Zip/Post Code: __________________
TEL.NO: (inc code) _______________________
Email: _____________________________

Single Blue Dragon Spiral
Please send me the ................ Blue Dragon Spiral, start date...............

or
All 8 Blue Dragon Spirals
I wish to begin with the ................ Blue Dragon Spiral, start date...............

Please send me the relevant essence(s), Audio CD, information and feedback(optional) book

Payment:
Payment by Visa/MasterCard/Maestro
Name on card: ………………………………………
Card Number: ... ……./ .……./ ………/ ..…….
Expiry date: ……./ …….
Last 3 digits on signing strip: ……..
Issue Number (Maestro) …… Start Date ……./ …….(Maestro)

*I wish to pay: £25 for registration and £35 for a single and my first Blue Dragon Spiral
(subsequent spirals will cost £25) or
*I wish to pay £235 for the complete 8 Spirals
* Please delete as appropriate and sign at the bottom of this form to confirm the amount MCS can process by card.
Sterling Cheques made payable to ‘MCS’ please
or send funds via PayPal to ‘mcs@greenmantrees.demon.co.uk’

I confirm that I have read and understood the Booking Terms and Conditions explained in the accompanying download and agree to them.

Signature___________________________________ Name (please print)
Date:
Please return to: MCS, PO Box 6, Exminster, Exeter, Devon, UK EX6 8YE, Tel/Fax: +44 (0) 1392 832005 - Thank you
© 2010 MCS