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My Health Healers Course
Elective Workshop Application Form
Name:
*
Your Full Name
Address:
*
Your current postal address
Email
*
Email where we can contact you
Contact Number:
*
You phone or mobile where we can reach you
Fee Details:
*
$215 per workshop
Which modules will you attend?
Further comments:
Optional
By submitting this application I agree to to the following:
Workshop fees are non-refundable, however, you can switch to the online module or next intake if you miss your workshop for any reason
*
I Agree
