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July 26th – August 1st 2009

Name
Postal address	Country
Phone nr.	+ Mobile +
Email/homepage

Choose main workshop, 1st, 2nd, 3rd priority

1	Alexander MacKenzie, Uk: Parcifal and Personal Leadership in Business
2	Bente Klerke, Denmark: Creating healing Stories
3	Inger Lise Oelrich, Sweden: Healing words: Revitalizing the earth through story
4	Lewis Mehl-Madrona, USA: Community Healing
5	Nancy Mellon, USA: The Eloquence of the Body
6	Roi Gal-Or, Israel/Uk: The Doors of Perception

Accomodations

Symposium fee (including all meals)	4700 D. kr.	4700 D. kr.
Single room, very limited!	900 D. kr. for the week
Or Shared room	600 D. kr. for the week
Or Space for tent or camper	100 D. kr. for the week
Total sum	xxxxxxxxxxxxxxxxxxxxxxxx

Approx. arriving time Sunday the 26th: _____________________

To register:

Send the application form to wh@marjatta.dk AND pay the full amount at

Account name: MERKUR BANK
Account no: IBAN-nr DK1184010001087321.

SWIFT: MEKUDK21 via Ringkjoebing Bank, Torvet 2, DK-6950 Ringkjoebing
Reference: Name, address and phone number is very important for us to register you.

There is room for max. 100 participants.

You are enrolled, when we register your payment at the bank above.

OBS: From Denmark: 84011087321

Postal address: Marjatta, Att.: Winnie Hansen, Strandvejen 15, 4733 Tappernøje, Denmark,

Phone: Marianne + 45 3025 4774 Marjatta +45 5596 5119/55960460