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Congratulations on making the choice to join us
for Utopia Retreat 2009.

There are 2 options available for registration:

 

Personal Details: 

* = Required Fields

First Name*:
Last Name*:
Address*:
Suburb*:
Postcode*:
Country*:
Daytime Ph*:
Mobile:
Email:
Occupation:
Organisation:
How did you hear about Utopia?

Concurrent Workshop Selections:

Concurrent workshops are offered on Day 2 & 3 of the Retreat. 
Please select below your Concurrent Workshop selection of choice.

Where you choose Patrick’s ‘All-Love’ workshop, this is a two day workshops, thus you must attend his workshop on both days.

Day 2 Concurrent Workshops (select one only)*:
Day 3 Concurrent Workshops (select one only)*:
  *important! If you chose Patrick Zeigler's All Love workshop for Day 2, then you must also select this workshop for Day 3 - entering a different workshop may slow the processing of your registration.

Registration Options:

We recommend that you register early to ensure your preferred choice of Concurrent Workshops. Many Concurrent Workshops have limited places, and places are filled in order of registrations received. Concurrent Workshop choices are not guaranteed until monies/deposits according to your registration fee option are paid in full.

 

Payment Details:

Payment Method
Payment Amount:

 

Paying by Cheque or Money Order? Paying by Credit Card or Debit Card?
Please make payable to Utopia International Retreat and Post to:     

Utopia International Retreat
4 St James Cres
Mt Eliza  VIC, 3930
Australia
If you have chosen to pay by Credit Card, you will be given links to pay via PayPal once you have submitted this online form.

Note: You do not need to be registered with PayPal to pay by credit card or debit card.

To finalise your Registration, please click on the ‘Submit your Registration Now’ button below. You will receive a confirmation of your registration within 24-48 hours, including further details about Utopia Retreat 2009.  Thank you.

NOTE: Once you submit your form, you will be taken to a page where you can
make your registration fee payment using your Credit or Debit Card (via PayPal)
if you have chosen "Credit Card or Debit Card" as your payment option.