Your Name

Your Email

Your Telephone Number

Venue

 Cape Town
 Gauteng

Module/s

 Mod 1
 Mod 2
 Mod 3
 Mod 4
 Mod 5

Date/s

Payment

 Single Module (R750)
 Two Modules (R1350)
 Five Modules (R3150)

Make your EFT payment using the banking details below.

Account Name: Happiness Is – Wellbeing Products and Services
Bank: Nedbank
Branch: Gardens
Account Number: 1010135562
Branch code: 10100900
Reference: HFA ‘your full name’

Proof of Payment
Attach your proof of payment below, or email it to hi@happinessis.co.za.

Dietary Needs
All food is vegetarian. Let us know if you specific dietary requirements.

Workshop Give-a-Way
If 5 participants choose the same beneficiary, that person/organisation gets a free place. For more information see – Workshop Give-a-Way.

Name of Person/Organisation you would like to benefit

Any Other Comments