Booking form

Please complete the booking form below and then send proof of payment to [email protected].

 

5th Place bank details

Name: 5th Place Consciousness
Bank: Nedbank
Account number: 1169616011
Bank code: 198765
SWIFT code: NEDSZAJ

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Your contact details


Workshop details

Invoicing details

If you need an invoice with specific details, please complete the next section.

Anything else (e.g. dietary requirements) you’d like us to know?

5th Place bank details

Name: 5th Place Consciousness
Bank: Nedbank
Account number: 1169616011
Bank code: 198765
SWIFT code: NEDSZAJ

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