Chi Nei Tsang New Zealand
Practitioner Signup Form
The annual fee begins on 01 October each year. The fees are necessary in order to cover webhosting, website maintenance and labour costs. The same fee will apply irrespective of the month you join and may be subject to change in the future.
Please fill in the relevant sections, cut and paste into an email and send to:
info "at" chineitsang.co.nz
Name .................................................
Phone ................................................ Cell ....................................................
Email ...................................................................
Address ..........................................................................................................................
Website ..........................................................
I would like (please choose / delete as applicable):
Practitioner Listing only .........................................................................................$50
Practitioner Listing and full page bio ........................................................................$95
Article(s) ($1 per minute labour cost) .......................................................................TBC
Self-care Training page ($1 per minute labour cost) ....................................................TBC
Professional Training Page ($1 per minute labour cost) ................................................TBC
Agreement to Code of Ethics
Please sign below that you have read and agree to the code of ethics as described on this website:
............................................................... Print Name ........................................................
Payment is accepted by online banking or credit card
Name of Account: CNT Retreats NZ
Westpac Account Number 03-0187-0644489-00 SWIFT code: WPACNZ2W
Please put YOUR NAME as the reference and send an email to info “at” chineitsang.co.nz to advise when payment has been made. Many thanks.
CREDIT CARD: PLEASE NOTE 7% admin surcharge for credit card payments
I (Name) ………………………………….……. authorize Healing Grace to debit my credit card NZ$ ………………….
Name on card ………………………………………………………... Expiry Date ……………………………..
Card Number ………………………………………………………….............. Signature …………………………………………….
Click here for a list of information to submit to complete your listings