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Please complete this brief survey indicating your level of interest to participate in the International Enneagram Conference in South Africa next year in October, hosted by Dirk Cloete and Integrative Enneagram Solutions.

VENUE: The Vineyard Hotel http://www.vineyard.co.za/ MAP: https://goo.gl/maps/bd9eBkAyH8r

ESTIMATED COSTS: $400 for 3 day conference (Includes full lunches + dinner parties + free wine), accommodation +-$100 per night.

CONFERENCE THEME: Holism (integrating somatic, emotional, mind, spirit of a person, a group, society and the world)

This survey only registers your interest and does not constitute a registration or a presentation proposal.

For more information, please contact Cherise Nortje via Cherise@integrative.co.za or +27 21 790 2291.

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* 1. Please provide your personal details

Name

Company

City/Town

Country

Email Address

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* 2. By selecting Yes, Maybe or Not interested, please indicate your preferences to the following areas:

	Yes	Maybe	Not interested
Attend this conference	Attend this conference Yes	Attend this conference Maybe	Attend this conference Not interested
Be a Presenter	Be a Presenter Yes	Be a Presenter Maybe	Be a Presenter Not interested
South African Tourism Packages	South African Tourism Packages Yes	South African Tourism Packages Maybe	South African Tourism Packages Not interested
International Teacher Workshops	International Teacher Workshops Yes	International Teacher Workshops Maybe	International Teacher Workshops Not interested
Interested in Somatics/Body Work	Interested in Somatics/Body Work Yes	Interested in Somatics/Body Work Maybe	Interested in Somatics/Body Work Not interested
Interested in Emotions/Relationships	Interested in Emotions/Relationships Yes	Interested in Emotions/Relationships Maybe	Interested in Emotions/Relationships Not interested
Interested in Neuro-Science and Mindfulness	Interested in Neuro-Science and Mindfulness Yes	Interested in Neuro-Science and Mindfulness Maybe	Interested in Neuro-Science and Mindfulness Not interested
Interested in Spirituality	Interested in Spirituality Yes	Interested in Spirituality Maybe	Interested in Spirituality Not interested

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* 3. Any questions, comments, feedback, suggestions or complaints...

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* 4. Research: Do you want to join in a long term Enneagram Research Project (before and after conference)?

Yes

Thank you for you input. We will be in touch with more info around the conference soon!