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Introduction to Energy Healing Workshop
Series: (Print clearly)
Name:______________________________________
Address:____________________________________
Phone:_____________________________________
Fax:_______________________________________
e-mail:____________________________________
Fee: $ 450.00 CDN (plus $31.50 GST) per
workshop – Please select workshops
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Workshop: |
Date: |
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Workshop # 1 |
To Be Announced |
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Workshop # 2 |
To Be Announced |
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Workshop # 3 |
To Be Announced |
Flexible payment plans are available.
BONUS: Sign up for 2 or more & Save $
100.00 off your total.
For Visa payment, fill in information:
VISA Card Number:___________________________________
Expiry Date:_________________________________________
Name on the card:____________________________________
Signature:__________________________________________
Make cheque payable to: Susan Fraser
Send to: Fraser Counselling Services
256 King St. N.
P.O. Box 38007
Waterloo, Ontario, N2J 4T9
www.frasercounselling.com
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