APPLICATION FORM:
PELVIC CORRECTION & YUAN SHI DIAN CERTIFIED COURSE
All Saturdays: on 13th June, the 27th June and the 11th July, 2020
FULL NAME: .....................................................................................
FULL ADDRESS: ................................................................................
LAND-LINE: .........................................................
MOBILE: .............................................................
EMAIL ADD: ........................................................
OCCUPATION: .................................................................................................................................
THERAPY PRACTICED: ...................................................................................................................
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SELECT:
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COSTS: £160 per Workshop. Total of 3 Workshops: £480...................................................................
FULL PAYMENT OF £480.00 to be received by 1st June....................................................................
OR DEPOSIT OF £250.00 to be received by 1st June, balance to be paid on the day..........................
PAYMENT OF £450 (early-bird) if received before 15th May...............................................................
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Kindly email: alexalign.uk@gmail.com for further information on registering for the course.
AWA