First name

Last name

Kennitala

Phonenumber

Adress

City

Country

Gender

Other questions?

Other message to organiser

Please state if you will do Level 1 for first time, if you are a repeater, or if you are an assistant.

I accept the agreement, that can be read here

To be payed 75,000 ISK

including VAT 0 ISK

Questions marked with a * means that they are mandatory.

Application for Spiritual Sexual Shamanic Experience, SSSEx - Level 1