Workshop Registration

Name*

First NameMiddle NameLast Name

Date of birth*

Date

Email*

example@example.com

Phone Number*

Country CodeArea CodePhone Number

WhatsApp Number / if different from previous number

Country CodeArea CodePhone Number

Address*

Street Address

Street Address Line 2

CityState / Province

Country

How did you know about the workshop?*

Instagram5Rhythms WebsiteFriend or family participating to the same workshop**Other

**Please specify full name of that person below:

Payment information

Price before Jan 24th: USD190&#13;&#10;&#13;&#10;Price from Jan 25th: USD250 &#13;&#10;&#13;&#10;---------------&#13;&#10;&#13;&#10;BANCO NACIONAL DE COSTA RICA&#13;&#10;Beneficiary: 3101864260 sociedad anonima&#13;&#10;Iban Dollars: CR42 0151 0932 0020 0295 31&#13;&#10;&#13;&#10;All bank charges (if any) must be paid by the customer.&#13;&#10;&#13;&#10;----------&#13;&#10;&#13;&#10;PAYPAL&#13;&#10;Transfer to enrica@feelgoodwithenrica.com&#13;&#10;NB: Please note that if you choose this option you need to add 4% to the total amount to cover PayPal fees.&#13;&#10;&#13;&#10;-----------&#13;&#10;&#13;&#10;SINPE Payment Option Available. Please contact Enrica directly.&#13;&#10;&#13;&#10;-----------&#13;&#10;&#13;&#10;FOR ANY QUESTIONS:&#13;&#10;Get in touch directly with Enrica via WhatsApp +506 62053863 or email enrica.andreetto@gmail.com&#13;&#10;

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