Registration form Vision Training

Please register me for the Improve your eyesight naturally workshop with Leo Angart - 5 and 6 May, 2007.

At the door......................................................................................HK$ 3,500.00

Early bird discount (payment before 24 April, 2007) .. ....... HK$ 3,300.00

Groups of three or more

Each of you save HK$ 300 before 24 April, 2007 , you pay . ..HK$ 3,2000

no of people registering ........

I am referred by

name(s)

city country

How may we contact you?

contact phone with area code

e-mail

Payment options

Do you need confirmation of enrolment prior to payment?

I pay by ATM transfer Please transfer amount to HSBC bank account no: 809-051915-838

Please fax receipt and your name to +852 2533-9300

I pay by cheque
Cheques should be issued to "the solutions group ltd" please write your name on the back and mail to P.O. BOX 5810 Central Hong Kong

issuing bank amount HK$

... Receipt of payment

Please issue receipt to name / company

..................................................................................... ....

After payment you will receive a confirmation in a separate e-mail

Phone (852) 6488-8706 Fax (852) 2533-9300

e-mail mail@the-solutions-group.net ...