8 x 2 hr classes, next series commencing 11 August 2009

 7.30 - 9.30pm Tuesdays

20 GRANDVIEW RD
BOX HILL SOUTH VIC 3128 

Comprehensive Manual provided in weekly instalments

Title:....... Surname:...........................Given Names:........................................................
Address:......................................................
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Telephone - Home:.................................... Mobile:..........................................................
Email:............................................................


$350 FULL PAYMENT. $50 non-refundable Deposit required at least two weeks prior to first class to secure your place. Balance due on or before first class.

Amount paid today:­­­­­­­­­­­­­­­­ $_______


______ Cash _______Cheque (payable to Angel Wings Healing)


Credit Card : ____VISA or ____ MASTERCARD
Credit Card # .......................................................................  CVV………(3 digits on back of card)
Expiry Date: ............../..............
Name on Card: ..............................................Signed: ....................................................

Michelle Mayur Tel: 03 98880138 Mob: 0421977193

Email: michelle@angelwings-healing.com

20 Grandview Rd., Box Hill South, VIC 3128 Australia