Les Amis du numéro 9 - Application form for the Reiki Course

Application form for the Reiki Course

To Apply for a place on the Reiki Course please fill-in the following form.

Name

Address

Postcode

Please ensure your email is correct

Main Phone Number

Mobile Phone Number

Select the Date

3rd - 7th April 2006

Details of your experience and qualifications

Payment Method

By Euro cheque / International Money Order
Bank Transfer
PayPal
Other

Special Dietary Requirements

Occupation / Interests / Other Information

Where did you hear about the course