KYANZ Registration for Initiation

Registration Form for Initiation into Kriya Yoga, New Zealand

 

Name ...............................................................

Address ..........................................................................................................

Phone: Home................... Work ....................    Cell ....................... 

Email (for confirmation) ...............................................

Signature of applicant ................................................................. 

Date ..............................................................

How did you hear about Kriya Yoga? ..............................................................

 

PAYMENT: Contribution for Initiation: $150

(All proceeds are passed directly to the Prajnana Mission, India where they are used for charitable purposes)

Method of Payment (please tick): Cheque ....... Internet Banking ....... Cash ........
(No eftpos or credit card facilities)

If paying by cash, please contact Vijay Sethi (details below). Please do not post cash.

If paying by cheque, please make cheque payable to Kriya Yoga Association of NZ Inc   Cheque No ...............................

If paying by Internet Banking:   

Bank: Kiwi Bank,  Account No: 38-9003-0855259-01 

Account Name: Kriya Yoga Association of New Zealand Inc

 

IMPORTANT: If paying by Internet banking, please put your surname as a reference

For questions about payment, please contact Vijay Sethi Phone: 09 520 5670 / 0211 00 66 11

For questions about Initiation, please contact Partha Roop on 09 577 1025 / 021 335 137

Please return completed form and payment to: KYANZ, 1C Griffin Avenue, Epsom 1023, Auckland or cut and paste and email to vssethi 'at' xtra.co.nz

 

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

Office Use Only

Initiation Form & Payment Received By: ________________________ 

Date: ________________________

Registered By :_______________________

Receipt No. ________________________________________ 

Date:____________________________

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