Home, About Us, Treatments, Partners, Newsletter, Events, Membership,
Practitioners, Shop, Diet, Mindd TV, Donations, Resources, Conditions,
Integrative Solutions Seminars, 2009

Please fill in the form below if you wish to register for an upcoming Mindd seminar. Payment can be made securely online through our PayPal system or via cheque. If you have any questions, please email info@mindd.org or phone (02) 9337 3600.

Please enter your contact details
First Name
Last Name
Spouse Name
Company
Street
City
State Postcode
Country
Email
Phone Fax


Please indicate your area of expertise
Parent Guardian Osteopath General Practitioner
Paediatrician Chiropractor Health Worker
Nutrition Kineseology Language/Literacy
Cranial Sacral Neurodevelopment Naturopath
Other (Please specify)

Do you have any key questions?


Where did you hear about the our events?
E-flyer Print flyer Print ad Radio Friend Practitioner

Which shop, magazine or radio station

Other (Please specify)

Please indicate which event(s) you would like to attend No. People
Donation
Your contribution goes towards promoting effective integrative treatments for ADHD, allergies, Autism, asthma, learning delay, digestive disorders and associated auto-immune and neuro-biological disorders.
$20 Silver $50 Gold $100 Platinum Other Amount
Total Fee: $

Please click here for permission to print your name as a sponsor
Yes No

By cheque – If you wish to pay by cheque, please send cheque and resgistration form to:

Mindd Registration
PO Box 151
Vaucluse NSW 2030
Refund Policy
For cancellations, please send written notice to info@mindd.org or the above PO Box (no fax). For notices received one week prior to event, your registration fee will be refunded less 25% cancellation charge. No credits will be given for late notice or “no shows”.

I agree with all the terms and conditions outlined above
Yes No

You will be forwarded to the paymate site for online payment.



Privacy Policy
Copyright © 2005-2012, MINDD Foundation Inc. All Rights Reserved. Information is based on the best available resources. Opinions reflect judgment at the time and are subject to change.
Web site design by There Communications, Pty Limited