Name ..............................................................................
Qualifications..................................................................
Address......................................................................................................................
....................................................................................................................................
....................................................................................................................................
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Post Code.............................................Telephone...............................................
email address..................................................................
I should like to attend the workshop entitled...................................................................................................................
on (date).............................................I enclose a deposit cheque for £50 made payable to John R. Cross to secure a place. I understand that this cheque will not be banked until just before the workshop. The remainder of the fee is due during the workshop. The deposit cheque will be returned if the workshop is cancelled or if more than 14 days notice of non-attendance is given. The deposit will be forfeit if fewer than 14 days notice are given. A receipt for the full amount and a certificate of attendance (for CPD) will be given during the workshop. Please note that credit cards are NOT accepted but you may pay by PayPal - my email address is jrcacupressure@hotmail.com
Please print out this form and send a hard copy with your cheque to:-
John R. Cross FCSP Dr.Ac.
12 Upper Milovaig
Glendale
Isle of Skye
Highland
IV55 8WY
Please add a few words about your experience of working with energy medicine and your reasons for attendance
Are you able to bring a portable couch? YES/NO
Do you have any dietary issues for lunch? ...............................................................................................................
Signed.........................................................................Date...................................
WE LOOK FORWARD TO SHARING THE MEDICINE OF THE FUTURE WITH YOU