BodyTalk System Mod 1&2 Registration Form

BodyTalk System Mod 1&2 Registration Form

Module 1&2 Course Details:

Date : Aug 24 – 27
Time : 9am – 5:00pm
Parc Palais, L5 Clubhouse,18 Wylie Rd, Kowloon.
Jordan MTR Station take taxi

With BodyTalk System Instructor: Angie Tourani
Angie is Advance Certified BodyTalk Practitioner, certified Anatomy & Physiology. She has taken post graduate studies in BodyTalk System with PaRama College PaRama Unit 1 & 2 with founder of BodyTalk System, Dr. John Veltheim. She is certified as Access Trainer and Module 1&2 Instructor since 2008. Angie is passionate about BodyTalk, and loves to teach BodyTalk with clarity so people can bring this magic of BodyTalk in their lives.


Student Details and Info(Please complete and return via FAX/EMAIL with your deposit slip)
Full Name (in CAPITALS) as you would like it written on your certificate of attendance.
Cell Phone Number
E-mail Address
Date of Course
Physical Address
Postal Address
Where did you hear about BodyTalk?
If you have taken BodyTalk or IBA related seminars before, please write which one/s and the name of your instructor/s.
I have read and understood the attached Terms of Registration
Have you pre-registered on www.bodytalksystem.com?

PAYMENT DETAILS:
Payment Price      
Date of Payment
Payment method



Amount Paid
DIRECT TRANSFERS / DEPOSITS: (Mailing address – 18E Greenmont, 21 Discovery Bay, H.K. Cheque payable to "BodyTalk Life Therapy Co.)
Date of Payment
Account Name: BodyTalk Life Therapy co. HSBC Account 817-157027-838
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Please register on www.bodytalksystem.com as well as this form below.